Individual
ANTHONY GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109-2455
(888) 515-1793
Mailing address
903 STATE ROAD Z, FULTON, MO 65251-2389
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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