Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angelica Gallegos, BCBA1-21-48488

Individual provider Behavior Technician · NPI 1730653049

Angelica Gallegos, BCBA1-21-48488 is a Behavior Technician in Libertyville, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

854 Technology Way
Libertyville, IL 60048-5350
Phone: (847) 816-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 — (847) 306-9843

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-21-48488 (IL)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-75290 (IL)

Record details

NPI number1730653049
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA1-21-48488
Sole proprietorYes
NPI enumeratedJanuary 20, 2019
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

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