| Grant Behavioral Therapy | |
|
2203 Se 9th Ter Cape Coral FL 33990-3274 | |
| (239) 850-5724 | |
| Not Available |
| Full Name | Grant Behavioral Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2203 Se 9th Ter, Cape Coral, Florida |
| Authorized Official Name and Position | Kelly Marie Grant (OWNER) |
| Authorized Official Contact | 2398505724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Behavioral Therapy Po Box 151956 Cape Coral FL 33915-1956 Ph: (239) 850-5724 | Grant Behavioral Therapy 2203 Se 9th Ter Cape Coral FL 33990-3274 Ph: (239) 850-5724 |
| NPI Number | 1528688470 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 04/21/2020 |
| Certification Date | 04/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528688470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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