Individual
GRANT LEE GREENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 900-3669
Mailing address
6619 N CEDAR RD # A7, SPOKANE, WA 99208-4384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61669133
WA
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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