Individual
JENNA RAQUEL GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
8500 WASHINGTON ST NE, SUITE A-1, ALBUQUERQUE, NM 87113-1846
(505) 828-3837
Mailing address
6800 VISTA DEL NORTE RD NE, APT. 1312, ALBUQUERQUE, NM 87113-1311
(505) 270-4585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13791
NM
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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