Diana Lisbeth Gallo, ABA

Individual provider Active NPI Behavior Technician · Bay Point, CA

NPI 1972075968 · NPPES record last updated Jan 1, 2019

Key facts

NPI
1972075968
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
131 Yolo CT
Bay Point, CA 94565-3016
Phone
(925) 890-6409
NPI assigned
Jan 1, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Associate of Business Administration

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

131 Yolo CT
Bay Point, CA 94565-3016

Mailing address

131 Yolo CT
Bay Point, CA 94565-3016
Phone (925) 890-6409

Other providers in Bay Point, CA

All providers in Bay Point, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.