Individual
CANDICE GALLEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S ANKENY BLVD, ANKENY, IA 50023-9417
(515) 598-7200
Mailing address
2825 S ANKENY BLVD, ANKENY, IA 50023-9417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-241221
TX
Other
Enumeration date
11/21/2023
Last updated
11/30/2023
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