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Organization
GRANT BEHAVIORAL THERAPY
Active
Organization
GRANT BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE GRANT BCBA (OWNER)
(239) 850-5724
Entity
Organization
Contact information
Practice address
2203 SE 9TH TER, CAPE CORAL, FL 33990-3274
(239) 850-5724
Mailing address
PO BOX 151956, CAPE CORAL, FL 33915-1956
(239) 850-5724
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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