| Galliant Ar Llc | |
|
701 South St Ste 100 Mountain Home AR 72653-4452 | |
| (972) 777-1331 | |
| Not Available |
| Full Name | Galliant Ar Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 701 South St Ste 100, Mountain Home, Arkansas |
| Authorized Official Name and Position | Andrew Holder (CO PRESIDENT) |
| Authorized Official Contact | 9727771331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galliant Ar Llc 606 Allende Bnd Austin TX 78748-4080 Ph: () - | Galliant Ar Llc 701 South St Ste 100 Mountain Home AR 72653-4452 Ph: (972) 777-1331 |
| NPI Number | 1871290676 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871290676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
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