Jasmine L Gallegos

NPI #1639648462 in Waukegan, Illinois

Provider Information

NPI Number: 1639648462
Entity Type: Individual
Name: Jasmine L Gallegos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 436 JULIAN ST
City: Waukegan
State: Illinois
ZIP Code: 60085-4050
Phone: (262) 617-2581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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