=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588520126
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEVIN GALLAGHER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2025
-----------------------------------------------------
Last Update Date | 12/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15801 W HIGHWAY 71 STE 200
-----------------------------------------------------
City | BEE CAVE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78738-2704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-732-2262
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 620 N ROBINSON DR
-----------------------------------------------------
City | ROBINSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76706-5312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-732-2262
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------