Individual
MRS. JULIE GRANA
Active
Individual
MRS. JULIE GRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L, LBA, BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2011001534
MO
225X00000X
Occupational Therapist
Primary
2001015378
MO
Other
Enumeration date
12/26/2006
Last updated
08/02/2012
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