Individual
MEGHAN ROSE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
589 IOWA AVE, MISSOULA, MT 59802-5512
(509) 998-9185
Mailing address
589 IOWA AVE, MISSOULA, MT 59802-5512
(509) 998-9185
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB670810
MT
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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