Khiry Esai Gallegos

NPI #1609425396 in Bothell, Washington

Provider Information

NPI Number: 1609425396
Entity Type: Individual
Name: Khiry Esai Gallegos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 5, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 19204 N CREEK PKWY BLDG STE 110
City: Bothell
State: Washington
ZIP Code: 98011-8009
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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