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NPI Code Detail

MEDICARE: KATHERINE GALLAUGHER BCBA

MEDICARE: KATHERINE GALLAUGHER BCBA
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
1103K00000XBehavior Analyst6950TX
2103K00000XBehavior Analyst0133003628VA
3103K00000XBehavior AnalystBA61249782WA

General Provider Information

NPI Number : 1215476882
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE GALLAUGHER BCBA
Provider Business Mailing Address
First Line : 690 W BROADWAY APT 206
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-3686
Country : US
Telephone Number : 206-817-0805
Fax Number :
Provider Business Practice Location Address
First Line : 1717 E CARY ST
Second Line :
City : RICHMOND
State : VA
Zip : 23223-7024
Country : US
Telephone Number : 804-215-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2017
Last Update Date : 05/24/2024

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