Therese Evangelina Gallegos, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-59151 Issued in CA

Practice address

1400 Hawaii St
Fairfield, CA 94533-4732

Phone

(408) 497-5595

NPI assigned

Oct 2, 2018

Last updated

Nov 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1285119578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAWAII ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334732",
            "telephone_number": "408-497-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "THERESE",
        "middle_name": "EVANGELINA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-59151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenic Gaetano
• Trysta Gaetano
• Howard Colmus Gaines III, PHARMD
• Carolyn Gale, PH.D.
• Lindsey Gallagher
• Samuel J Gallo, DO
• Andrea Elizabeth Galvan
• Steve Halili Galvan, DDS
• Samuel Sirineu Galvao
• Cleora E Galvez, BA

• Behavior Technician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.