Individual
JOANNA GALLARDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8442 DIAMOND DUST DR, LAS VEGAS, NV 89147-6149
(702) 712-7833
Mailing address
8442 DIAMOND DUST DR, LAS VEGAS, NV 89147-6149
(702) 712-7833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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