Individual
AMANDA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 7TH AVE STE A, KIRKLAND, WA 98033
(425) 658-3016
Mailing address
1003 7TH AVE STE A, KIRKLAND, WA 98033-5779
(425) 658-3016
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-18-70565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437692233
—
WA
Enumeration date
03/22/2019
Last updated
09/03/2021
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