Individual
JOSHUA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3015 E SKELLY DR STE 395, TULSA, OK 74105-6317
(918) 764-8378
Mailing address
2042 E 51ST ST APT A, TULSA, OK 74105-5824
(918) 399-2532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
20109867
OK
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
02/26/2020
Last updated
08/01/2023
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