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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