Individual
BRANDY GALLATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5366
Mailing address
8661 E REGENTS RD, PALMER, AK 99645-7453
(907) 201-1321
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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