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Kiyah Ann Galvin

Behavior Technician in Fairview Heights, IL. Individual provider (NPI-1).

NPI number1619752011
StatusActive
Last updated in NPPESAug 25, 2023

Details

NPI
1619752011
Entity type
Individual (NPI-1)
Name
Kiyah Ann Galvin
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2023
Certification date
Aug 25, 2023
Last updated
Aug 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

343 Fountains Pkwy
Fairview Heights, IL 62208-2170

Phone 618-515-1441

Mailing address

343 Fountains Pkwy
Fairview Heights, IL 62208-2170

Phone 618-515-1441

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