Individual
JESSICA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
98 S TURNPIKE RD, WALLINGFORD, CT 06492-4340
(860) 440-7288
Mailing address
183 GRAHAM RIDGE RD, NAUGATUCK, CT 06770-1562
(203) 206-8119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB691969
CT
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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