Individual
CHRISTINA EPIPHANY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
731 MALL RING CIR STE 215, HENDERSON, NV 89014-6691
(702) 300-6818
Mailing address
2362 N GREEN VALLEY PKWY, BLDG S APT 319, HENDERSON, NV 89014-3661
(702) 542-5953
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043670300
NPI
NV
Enumeration date
06/25/2016
Last updated
06/25/2016
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