Individual
JENNIE MARIE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 W INDIAN SCHOOL RD STE 105, PHOENIX, AZ 85037-2385
(310) 989-2505
Mailing address
16244 W PAPAGO ST, GOODYEAR, AZ 85338-7911
(310) 989-2505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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