Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Anthony Soriano Gallagher, 390200000X

Individual provider Behavior Technician · NPI 1922702711

Mark Anthony Soriano Gallagher, 390200000X is a Behavior Technician in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

1660 Hotel Cir N Ste 101
San Diego, CA 92108-2801
Phone: (619) 961-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-HMORYS (CA)
Behavior Technician Taxonomy 106S00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922702711
Entity typeIndividual (Type 1)
GenderMale
Credentials 390200000X
Sole proprietorNo
NPI enumeratedMarch 28, 2023
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

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