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Organization
PANTOGRAN LLC
Active
Organization
PANTOGRAN LLC
Active
Other names
Center for Autism and Related Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN GRANPEESHEH PH.D. (CHIEF EXECUTIVE OFFICER)
(818) 797-5902
Entity
Organization
Contact information
Practice address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(818) 797-5902
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(818) 797-5902
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/25/2023
Last updated
07/26/2023
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