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NPI Code Detail

MEDICARE: ITHALIA GALAN

MEDICARE: ITHALIA GALAN
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
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1932979820
Entity Type Code : Individual
Provider Name (Legal Business Name) : ITHALIA GALAN
Provider Business Mailing Address
First Line : 2708 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6927
Country : US
Telephone Number : 956-627-4413
Fax Number : 956-627-5312
Provider Business Practice Location Address
First Line : 2708 BUDDY OWENS AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-6927
Country : US
Telephone Number : 956-627-4413
Fax Number : 956-627-5312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 11/04/2024

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Directions to “ ITHALIA GALAN ” Practice Location

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