Selena Rose Gallegos

NPI #1013512193 in Richmond, California

Provider Information

NPI Number: 1013512193
Entity Type: Individual
Name: Selena Rose Gallegos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 4, 2020
Last Updated: Dec 4, 2020

Practice Location

Address: 2970 HILLTOP MALL RD STE 104
City: Richmond
State: California
ZIP Code: 94806-1948
Phone: (510) 243-5195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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