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NPI Code Detail

MEDICARE: MARTIN RAMIRO GALLEGOS-LUPIAN RBT

MEDICARE: MARTIN RAMIRO GALLEGOS-LUPIAN RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1093668733
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN RAMIRO GALLEGOS-LUPIAN RBT
Provider Business Mailing Address
First Line : 3909 N FORESTIERE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-1104
Country : US
Telephone Number : 559-352-2021
Fax Number :
Provider Business Practice Location Address
First Line : 20 N DEWITT AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-1066
Country : US
Telephone Number : 559-338-5493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ MARTIN RAMIRO GALLEGOS-LUPIAN RBT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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