Individual
JAMIE MARIE GRANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW, BCBA
Contact information
Practice address
8500 WALNUT GROVE RD, CORDOVA, TN 38018-7392
(901) 584-8281
Mailing address
701 TUSCAN LAKE CV, OXFORD, MS 38655-9323
(901) 387-9104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39849
TN
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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