Individual
TARA GALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3731 6TH AVE STE 100, SAN DIEGO, CA 92103-4383
(619) 278-0884
Mailing address
3731 6TH AVE STE 100, SAN DIEGO, CA 92103-4383
(619) 278-0884
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-10-3861
CA
Other
Enumeration date
01/30/2013
Last updated
06/22/2017
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