Iveth Gallegos
Behavior Technician in Riverside, CA. Individual provider (NPI-1).
NPI number1689375511
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1689375511
- Entity type
- Individual (NPI-1)
- Name
- Iveth Gallegos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2023
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3600 Lime StRiverside, CA 92501-2971
Phone 909-447-9394
Mailing address
3600 Lime StRiverside, CA 92501-2971
Phone 909-447-9394
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