Individual
HEATHER RENEE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 JACKS LN, SOMERSET, KY 42501-6152
(606) 425-4371
Mailing address
364 DOWELL ST, CAMPBELLSVILLE, KY 42718-8311
(270) 403-2194
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
304229
KY
106S00000X
Behavior Technician
—
KY
Other
Enumeration date
02/13/2023
Last updated
03/26/2026
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