Individual
GRANT DRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 DUPONT ST, BELLINGHAM, WA 98225-4021
(360) 930-6063
Mailing address
2629 NEVADA ST, BELLINGHAM, WA 98226-4621
(360) 220-1746
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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