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General NPI Number Information
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NPI Number | 1104346964
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Entity Type | Individual
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Provider Name | VERONICA GALLUN M.A., BCBA, LBA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 9901 NE 7TH AVE STE C116
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City | VANCOUVER
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State | WA
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Zip | 98685-4528
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Country | US
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Telephone | 360-583-8346
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Fax |
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Provider Business Mailing Address
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Address Line | 390 UNION BLVD STE 300
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City | LAKEWOOD
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State | CO
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Zip | 80228-6514
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Country | US
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Telephone | 323-807-3206
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BA61336791
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License Number State | WA
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