Most Relevant Information
Provider Data
| NPI Number: | 1003473604 |
| Provider Name: | TERRA MARIE GALLANT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2019 |
| Last Updated: | 05/20/2019 |
Provider Practice Location
225 EAGLE ST
ANCHORAGE
AK
995012626
Practice Location Phone/Fax
| Phone: | 9077296550 |
| Fax: |
Provider Mailing Location
225 EAGLE ST
ANCHORAGE
AK
995012626
Provider Mailing Phone/Fax
| Phone: | 9077296550 |
| Fax: |