Most Relevant Information
Provider Data
| NPI Number: | 1003527383 |
| Provider Name: | KAITLIN FAITH GALLARDO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2022 |
| Last Updated: | 12/08/2022 |
Provider Practice Location
1650 SPRUCE ST STE 102
RIVERSIDE
CA
925077403
Practice Location Phone/Fax
| Phone: | 9513576926 |
| Fax: | 8555682494 |
Provider Mailing Location
1650 SPRUCE ST STE 102
RIVERSIDE
CA
925077403
Provider Mailing Phone/Fax
| Phone: | 9513576926 |
| Fax: | 8555682494 |