Provider Demographics
NPI:1023632866
Name:GALEANA, LEXA YOANA
Entity type:Individual
Prefix:
First Name:LEXA
Middle Name:YOANA
Last Name:GALEANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:CHILOQUIN
Mailing Address - State:OR
Mailing Address - Zip Code:97624-9738
Mailing Address - Country:US
Mailing Address - Phone:541-591-5669
Mailing Address - Fax:
Practice Address - Street 1:140 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:CHILOQUIN
Practice Address - State:OR
Practice Address - Zip Code:97624-9738
Practice Address - Country:US
Practice Address - Phone:541-591-5669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-06
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst