Organization
GALLIANT TX LLC
Active
Parent organization
GALLIANT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GALLIANT LLC
Authorized official
ANDREW HOLDER (CEO)
(917) 608-5519
Entity
Organization
Contact information
Practice address
6105 YELLOW ROSE CV, AUSTIN, TX 78749-1657
(972) 777-1331
Mailing address
6105 YELLOW ROSE CV, AUSTIN, TX 78749-1657
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/20/2020
Last updated
03/20/2024
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