Individual
DEBORAH DENEASE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6801 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4379
(505) 738-5906
Mailing address
2154 COLLINS ALY, CONVERSE, TX 78109-1896
(210) 317-7012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8589
TX
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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