MEDICARE: BRITTNI GALLAGHER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1265050199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTNI GALLAGHER

Provider Business Mailing Address
First Line	:	5 REVERE DR STE 120
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-8005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1894 N ALPINE DR
Second Line	:
City	:	GLENDALE HEIGHTS
State	:	IL
Zip	:	60139-2105
Country	:	US
Telephone Number	:	630-450-4756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2020
Last Update Date	:	11/19/2024

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Directions to “ BRITTNI GALLAGHER ” Practice Location

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