Individual
DEBRA GRANDSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 WHITE POND DR, AKRON, OH 44320-1122
(330) 777-3284
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-89649
OH
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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