Provider Demographics
NPI:1821858325
Name:GALAXY DEVELOPMENT INC
Entity Type:Organization
Organization Name:GALAXY DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RESA
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAO
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:949-668-2513
Mailing Address - Street 1:178 WILLOWBEND
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:38 EXECUTIVE PARK STE 200
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4709
Practice Address - Country:US
Practice Address - Phone:949-668-2513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty