Individual
JILL GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6865 PARKDALE PL, INDIANAPOLIS, IN 46254-5654
(317) 299-5437
Mailing address
8631 WRANGLER CT, INDIANAPOLIS, IN 46217-6053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25511
IN
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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