Individual
MYLES GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 873-1486
Mailing address
7001A EAST PKWY, SACRAMENTO, CA 95823-2501
(916) 873-1486
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/15/2025
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