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NPI Code Detail

MEDICARE: TABITHA GALVIN

MEDICARE: TABITHA GALVIN
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 : 1790623627
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA GALVIN
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 355 QUARTERMASTER CT
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-3670
Country : US
Telephone Number : 812-258-9802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ TABITHA GALVIN ” Practice Location

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