Annette Gallardo

Individual provider Active NPI Behavior Technician · Olivehurst, CA

NPI 1306573142 · NPPES record last updated Aug 3, 2022

Key facts

NPI
1306573142
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
4334 Evelyn Dr
Olivehurst, CA 95961-7553
Phone
(530) 933-2596
NPI assigned
Aug 2, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

4334 Evelyn Dr
Olivehurst, CA 95961-7553

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Other providers in Olivehurst, CA

All providers in Olivehurst, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.