Active NPIIndividual providerSole proprietor

Lise M Gallo

Behavior Analyst in Southborough, Massachusetts

NPI Number1588184402
Practice location
16 Clifford St, Southborough, MA 01772
Fax
—
Last updated
July 21, 2022

Lise Mary Gallo is a Behavior Analyst based in Southborough, MA. Lise Mary Gallo practices in Southborough, MA. The NPI Number for Lise Mary Gallo is 1588184402 and holds a License No. 01-16-22292 (MA). The current practice location address for Lise Mary Gallo is 16 Clifford St, Southborough, MA 01772 and can be reached out via phone at 508-847-0387.

Provider Profile Details

NPI Number
1588184402
Provider Name
Lise Mary Gallo
Provider Entity Type
Individual
Gender
Female
Address
16 Clifford St, Southborough, MA 01772
Phone Number
508-847-0387
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2017
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Clifford St
Southborough, MA 01772
Zip
01772
Phone Number
508-847-0387
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
16 Clifford RD
Southborough, MA 01772-1502
City
Southborough
State
MA
Zip
01772-1502
Phone Number
508-847-0387

License Information

License Number
01-16-22292
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lise M Gallo?

The NPI number of Lise M Gallo is 1588184402. It was assigned on June 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Lise M Gallo?

Lise M Gallo is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 01-16-22292.

Where does Lise M Gallo practice?

The practice location is 16 Clifford St, Southborough, MA 01772. The office can be reached at 508-847-0387 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588184402 directly on the NPPES registry website.

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