Individual
EMILY GRANNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 FORUM BLVD STE E, COLUMBIA, MO 65203-5454
(573) 514-8735
Mailing address
1400 FORUM BLVD STE 7A, COLUMBIA, MO 65203-1997
(573) 446-0447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MO
Other
Enumeration date
10/27/2025
Last updated
11/21/2025
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