Individual
SHANIKA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 N CHURCH ST STE A, SPARTANBURG, SC 29306-5198
(505) 445-0648
Mailing address
3621 MARION LN, LAS CRUCES, NM 88012-7579
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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