Individual
AMAYA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10273 YELLOW CIRCLE DRIVE, MINNETONKA, MN 55343
(952) 401-9359
Mailing address
10273 YELLOW CIRCLE DRIVE, MINNETONKA, MN 55343
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
07/01/2026
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