Provider Demographics
NPI:1548916463
Name:GALAN, LIUDA (BCBA)
Entity type:Individual
Prefix:
First Name:LIUDA
Middle Name:
Last Name:GALAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29300 SW 142ND AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3018
Mailing Address - Country:US
Mailing Address - Phone:786-315-0830
Mailing Address - Fax:786-601-9109
Practice Address - Street 1:29300 SW 142ND AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3018
Practice Address - Country:US
Practice Address - Phone:786-315-0830
Practice Address - Fax:786-601-9109
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst