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NPI Code Detail

MEDICARE: DAVID LUCIANO GALLEGOS

MEDICARE:   DAVID LUCIANO GALLEGOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1346033198
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LUCIANO GALLEGOS
Provider Business Mailing Address
First Line : 190 SIERRA CT STE A8
Second Line :
City : PALMDALE
State : CA
Zip : 93550-7609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 190 SIERRA CT STE A8
Second Line :
City : PALMDALE
State : CA
Zip : 93550-7609
Country : US
Telephone Number : 818-788-1003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2025
Last Update Date : 04/13/2026

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Directions to “ DAVID LUCIANO GALLEGOS ” Practice Location

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