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Marquis Grant V

Behavior Technician in Orlando, FL. Individual provider (NPI-1).

NPI number1003673963
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1003673963
Entity type
Individual (NPI-1)
Name
Marquis Grant V
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 6, 2024
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7594 W Sand Lake Rd
Orlando, FL 32819-5188

Phone 800-875-1871

Mailing address

7594 W Sand Lake Rd
Orlando, FL 32819-5188

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