Individual
GALLIE A JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CEDAR HILL ST, STE 200, MARLBOROUGH, MA 01752
(857) 880-0097
Mailing address
67 S BEDFORD ST STE 400W, BURLINGTON, MA 01803-5177
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
ABA
MA
Enumeration date
05/14/2019
Last updated
05/14/2019
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