Individual
DIONICIA LATRICE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11606 SOUTHFORK AVE STE 3000, BATON ROUGE, LA 70816-5235
(225) 292-5981
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
LA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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