Individual
LISA GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2312 WHITEHORSE MERCERVILLE RD STE 205, TRENTON, NJ 08619-1953
(609) 643-9077
Mailing address
161 SILVER BAY RD, TOMS RIVER, NJ 08753-2551
(732) 581-8739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43238
NJ
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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