Individual
KAITLYN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
111 PLEASANT ST, CONCORD, NH 03301-3852
(603) 226-7547
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NH
Other
Enumeration date
12/09/2015
Last updated
09/29/2021
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