Raven Grant
Behavior Technician in Decatur, GA. Individual provider (NPI-1).
NPI number1295522902
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1295522902
- Entity type
- Individual (NPI-1)
- Name
- Raven Grant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2025
- Certification date
- Apr 24, 2025
- Last updated
- Apr 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3284 Deer Pause LnDecatur, GA 30034-4897
Phone 470-526-7299
Mailing address
3284 Deer Pause LnDecatur, GA 30034-4897
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 216 Behavior Technician providers in Decatur · All 6,698 providers in Decatur
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