Individual
BRIAN GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
831 E 1ST ST, LOCKPORT, IL 60441-3212
(708) 691-6249
Mailing address
831 E 1ST ST, LOCKPORT, IL 60441-3212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59507
IL
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/23/2016
Last updated
02/14/2024
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