Healthcare Provider Details

I. General information

NPI: 1487001764
Provider Name (Legal Business Name): LINDSEY KATHERINE GALLAGHER BCBA/LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 SIGSBEE RD
MATTITUCK NY
11952-3322
US

IV. Provider business mailing address

1345 SIGSBEE RD
MATTITUCK NY
11952-3322
US

V. Phone/Fax

Practice location:
  • Phone: 862-222-2948
  • Fax:
Mailing address:
  • Phone: 862-222-2948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-13-14135
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: