Individual
HAILEY R GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
3855 CENTERVIEW DR STE 400, CHANTILLY, VA 20151-3285
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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