Chante Gallegos

Individual provider Active NPI Behavior Technician · Sandia Park, NM

NPI 1831663467 · NPPES record last updated Jul 30, 2020

Key facts

NPI
1831663467
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
6 Stagecoach Junction PL
Sandia Park, NM 87047-9383
Phone
(505) 269-0284
NPI assigned
Jan 16, 2019
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

6 Stagecoach Junction PL
Sandia Park, NM 87047-9383

Mailing address

6 Stagecoach Junction PL
Sandia Park, NM 87047-9383

Other providers in Sandia Park, NM

All providers in Sandia Park, NM · Behavior Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.