Individual
MIA GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
346 MAINE ST, LAWRENCE, KS 66044-1393
(785) 856-0230
Mailing address
3965 W 83RD ST # 157, PRAIRIE VILLAGE, KS 66208-5308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
KS
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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