Organization
PANTOGRAN LLC
Active
Other names
Center for Autism and Related Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
DOREEN GRANPEESHEH PH.D (CHIEF EXECUTIVE OFFICER)
(469) 694-1754
Entity
Organization
Contact information
Practice address
2121 S BLACKHAWK ST STE 100, AURORA, CO 80014-1488
(469) 694-1754
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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