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Individual

JESSICA GALLUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA, LBS

Contact information

Practice address
224 NAZARETH PIKE UNIT 22A, BETHLEHEM, PA 18020-9084
(610) 365-8373
Mailing address
224 NAZARETH PIKE UNIT STE 22A, BETHLEHEM, PA 18020-9080
(610) 365-8373

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003655
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003186523
HIGHMARK BLUE SHIELD
PA
05
1031280770001
PA
01
50136927
CAPITAL BLUE CROSS
PA
01
6348190
CIGNA
PA
01
9099842
AETNA
PA
Enumeration date
11/16/2017
Last updated
08/20/2025
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