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Organization
GALLIANT NE LLC
Active
Organization
GALLIANT NE LLC
Active
Parent organization
GALLIANT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALLIANT LLC
Authorized official
BOBBY DODSON (CO PRESIDENT)
(972) 777-1331
Entity
Organization
Contact information
Practice address
20010 MANDERSON ST STE 104, ELKHORN, NE 68022-1264
(972) 777-1331
Mailing address
6105 YELLOW ROSE CV, AUSTIN, TX 78749-1657
(972) 777-1331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/13/2023
Last updated
03/20/2024
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