MEDICARE: MADELINE GALTIERI

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1396564431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE GALTIERI

Provider Business Mailing Address
First Line	:	880 CORPORATE DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 CORPORATE DR
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-5400
Country	:	US
Telephone Number	:	859-785-1441
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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Directions to “ MADELINE GALTIERI ” Practice Location

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