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Organization
GALLIANT LLC
Active
Organization
GALLIANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HOLDER (OWNER)
(917) 608-5519
Entity
Organization
Contact information
Practice address
711 CARLSTON AVE, OAKLAND, CA 94610-2424
(708) 308-9419
Mailing address
711 CARLSTON AVE, OAKLAND, CA 94610-2424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/19/2020
Last updated
04/14/2021
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