Mellissa M Gallegos

NPI #1518572312 in Olympia, Washington

Provider Information

NPI Number: 1518572312
Entity Type: Individual
Name: Mellissa M Gallegos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 9, 2020
Last Updated: Apr 22, 2022

Practice Location

Address: 2424 HERITAGE CT SW STE 200
City: Olympia
State: Washington
ZIP Code: 98502-6046
Phone: (360) 810-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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