Most Relevant Information
Provider Data
NPI Number: | 1003446154 |
Provider Name: | GAL EDEN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 01/16/2020 |
Last Updated: | 01/16/2020 |
Provider Practice Location
7125 GRAND MONTECITO PKWY
LAS VEGAS
NV
891490260
Practice Location Phone/Fax
Phone: | 7023960101 |
Fax: |
Provider Mailing Location
7125 GRAND MONTECITO PKWY
LAS VEGAS
NV
891490260
Provider Mailing Phone/Fax
Phone: | 7023960101 |
Fax: |