Individual
IAN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 CRAIGSHIRE RD, SAINT LOUIS, MO 63146-4036
(314) 275-0506
Mailing address
5163 ROSEMOUNT DR, WELDON SPRING, MO 63304-7583
(636) 288-1991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023016406
MO
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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