Individual
GENEVIEVE M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 W 26TH AVE STE 217, DENVER, CO 80211-5308
(303) 322-7108
Mailing address
PO BOX 639561, CINCINNATI, OH 45263-9561
(847) 807-3917
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12473117
CO
Other
Enumeration date
08/13/2019
Last updated
07/01/2024
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