Healthcare Provider Details

I. General information

NPI: 1043176381
Provider Name (Legal Business Name): MS. JANINA GABRIELLE GALEANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2490 W HEIL AVE
EL CENTRO CA
92243-3530
US

IV. Provider business mailing address

2490 W HEIL AVE
EL CENTRO CA
92243-3530
US

V. Phone/Fax

Practice location:
  • Phone: 760-879-1859
  • Fax:
Mailing address:
  • Phone: 760-879-1859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: