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General NPI Number Information
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NPI Number | 1821416181
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Entity Type | Individual
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Provider Name | DONALD GALLAGHER BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 11811 SHAKER BLVD SUITE 204 PMB 184
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City | CLEVELAND
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State | OH
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Zip | 44120
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Country | US
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Telephone | 505-458-6602
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Fax | 815-581-1005
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Provider Business Mailing Address
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Address Line | 11811 SHAKER BLVD SUITE 204 PMB 184
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City | CLEVELAND
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State | OH
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Zip | 44120
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Country | US
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Telephone | 505-458-6602
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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 | 1-14-15548
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | COBA.01247
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License Number State | OH
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