Individual
MATTHEW GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 MONUMENT DR, STAFFORD, VA 22554-8508
(540) 383-7133
Mailing address
12 MONUMENT DR, STAFFORD, VA 22554-8508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/22/2018
Last updated
02/11/2021
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