Individual
CHRISTIN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 JONES LN, KNOTTS ISLAND, NC 27950-9639
(860) 574-4117
Mailing address
187 JONES LN, KNOTTS ISLAND, NC 27950-9639
(860) 574-4117
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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