Individual
BREANN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 N 2350 W, FARR WEST, UT 84404-5177
(801) 872-8757
Mailing address
882 W FOXBORO DR APT G106, NORTH SALT LAKE, UT 84054-6059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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