Wellformed AI

NPI 1245937044 · live from the CMS NPI Registry

Galliant Ne LLC

Behavior Analyst in Elkhorn, NE. National Provider Identifier 1245937044, active.

NPI record

NPI1245937044 Type 2 · organization
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location20010 Manderson St Ste 104, Elkhorn, NE 68022
Practice phone972-777-1331
Mailing address6105 Yellow Rose Cv, Austin, TX 78749
EnumeratedFebruary 13, 2023
Last updatedMarch 20, 2024
Authorized officialBobby Dodson, Co President

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Behavior Analyst primary103K00000X—
Behavior Technician106S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.