| Galliant Nm Llc | |
|
55 Old Santa Fe Trl Fl 2 Santa Fe NM 87501-2009 | |
| (917) 608-5519 | |
| Not Available |
| Full Name | Galliant Nm Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 55 Old Santa Fe Trl Fl 2, Santa Fe, New Mexico |
| Authorized Official Name and Position | Andrew Holder (CO-FOUNDER) |
| Authorized Official Contact | 9176085519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galliant Nm Llc 711 Carlston Ave Oakland CA 94610-2424 Ph: () - | Galliant Nm Llc 55 Old Santa Fe Trl Fl 2 Santa Fe NM 87501-2009 Ph: (917) 608-5519 |
| NPI Number | 1043806854 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043806854 | NPI | - | NPPES |
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