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Organization
GALLIANT NM LLC
Active
Organization
GALLIANT NM LLC
Active
Parent organization
GALLIANT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALLIANT LLC
Authorized official
ANDREW HOLDER (CO-FOUNDER)
(917) 608-5519
Entity
Organization
Contact information
Practice address
55 OLD SANTA FE TRL FL 2, SANTA FE, NM 87501-2009
(917) 608-5519
Mailing address
711 CARLSTON AVE, OAKLAND, CA 94610-2424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/15/2020
Last updated
04/14/2021
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