Miranda Mashalle Gallegos, A.A.

NPI #1841931763 in Fontana, California

Provider Information

NPI Number: 1841931763
Entity Type: Individual
Name: Miranda Mashalle Gallegos, A.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: A.A.
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 6949 DEW POINT WAY
City: Fontana
State: California
ZIP Code: 92336-1865
Phone: (909) 317-8499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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