Galliant NM LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GALLIANT NM LLC

Practice address

55 Old Santa Fe TRL FL 2
Santa Fe, NM 87501-2009

Phone

(917) 608-5519

NPI assigned

Dec 15, 2020

Organization subpart

Yes

Parent organization

GALLIANT LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Holder

Title

Co-Founder

Phone

(917) 608-5519

Specialties & licenses 4

Addresses

Part of

Galliant LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1043806854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CARLSTON AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 OLD SANTA FE TRL FL 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012009",
            "telephone_number": "917-608-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLIANT NM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALLIANT LLC",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "917-608-5519"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lancaster Gallegos, MD
• Michael H Gallegos, D.D.S.
• Patricia R Gallegos
• Rita M Gallegos, LMT
• Raymond C Galley, PA-C
• Kimberly Gallovich
• Mamie Galston, LMT
• Ronnie Galvez
• Paige Alycia Gamache
• Joyce Gamble

• Behavior Analyst in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Behavior Analyst in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.