Individual
AMANDA GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(888) 880-9270
Mailing address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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