Individual
KYLE M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
330 GROVE ST, WORCESTER, MA 01605-3909
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37917
RI
103K00000X
Behavior Analyst
LABA2913
MA
Other
Enumeration date
10/24/2019
Last updated
11/07/2023
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