Individual
MS. CHEVANESE V GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPECIAL EDUCATION
Contact information
Practice address
1336 LOUIS NINE BLVD, BRONX, NY 10459-1535
(718) 991-2119
Mailing address
30 GLENWOOD AVE, NEW ROCHELLE, NY 10801-3602
(914) 336-1512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2588463
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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