Lise Mary Gallo
NPI #1588184402 in Southborough, Massachusetts
Provider Information
- NPI Number
- 1588184402
- Entity Type
- Individual
- Name
- Lise Mary Gallo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 16 CLIFFORD ST
- City
- Southborough
- State
- Massachusetts
- ZIP Code
- 01772
- Phone
- (508) 847-0387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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