Individual
CHANTE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 STAGECOACH JUNCTION PL, SANDIA PARK, NM 87047-9383
(505) 269-0284
Mailing address
6 STAGECOACH JUNCTION PL, SANDIA PARK, NM 87047-9383
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
07/30/2020
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