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NPI Code Detail

MEDICARE: ANTHONY GALVAN

MEDICARE: ANTHONY GALVAN
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 Technician

General Provider Information

NPI Number : 1528779600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY GALVAN
Provider Business Mailing Address
First Line : 16520 SMOKE TREE ST
Second Line :
City : HESPERIA
State : CA
Zip : 92345-3229
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9390 HESPERIA RD STE 2
Second Line :
City : HESPERIA
State : CA
Zip : 92345-3636
Country : US
Telephone Number : 808-207-0272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 05/01/2025

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Directions to “ ANTHONY GALVAN ” Practice Location

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