Samuel Alexander Gallup
Samuel Alexander Gallup is a Behavior Technician in Bend, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
19800 Vlg Ofc CT Ste 104Bend, OR 97702-1813
Phone: (541) 480-2570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1952866162 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 1, 2019 |
| Last updated in NPPES | February 1, 2019 |
| Mailing address | 21204 Se Golden Market Ln, Bend, OR 97702-3651 |
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