NPIMap

Organization Active NPI

Galliant NE LLC

  • Behavior Analyst
  • Elkhorn, NE
National Provider Identifier
1245937044
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GALLIANT NE LLC
Practice address
20010 Manderson St Ste 104
Elkhorn, NE 68022-1264
Phone
(972) 777-1331
NPI assigned
Feb 13, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GALLIANT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Bobby Dodson
Title
Co President
Phone
(972) 777-1331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

20010 Manderson St Ste 104
Elkhorn, NE 68022-1264

Mailing address

6105 Yellow Rose CV
Austin, TX 78749-1657
Phone (972) 777-1331

National Provider Directory

National Provider Directory
Tax ID family
Galliant NE LLC2 organizations share this tax ID, including this one
Part of
Galliant LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20010 Manderson St
Ste 104
Elkhorn, NE 68022
Phone (972) 777-1331

Practitioners & affiliated clinicians

Practitioners 94

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1245937044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 YELLOW ROSE CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491657",
            "telephone_number": "972-777-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 MANDERSON ST STE 104",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221264",
            "telephone_number": "972-777-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLIANT NE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GALLIANT LLC",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CO PRESIDENT",
        "authorized_official_telephone_number": "972-777-1331"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.