Most Relevant Information
Provider Data
NPI Number: | 1003375536 |
Provider Name: | KASSANDRA GALLARDO |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 03/14/2019 |
Last Updated: | 03/25/2024 |
Provider Practice Location
8945 GOLF LINKS RD
OAKLAND
CA
946054124
Practice Location Phone/Fax
Phone: | 5103171444 |
Fax: |
Provider Mailing Location
8945 GOLF LINKS RD
OAKLAND
CA
946054124
Provider Mailing Phone/Fax
Phone: | 5103171444 |
Fax: |