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Blair Amber Grant, MS, BCBA

Behavior Analyst in Bloomington, IN. Individual provider (NPI-1).

NPI number1730786807
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1730786807
Entity type
Individual (NPI-1)
Name
Blair Amber Grant
Credential
MS, BCBA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 2, 2020
Certification date
May 18, 2023
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior AnalystBCBA1-23-65449INYes
106S00000X Behavior TechnicianRBT-19-106721IN

Practice location

Rise Autism Therapy Services
239 E Winslow Rd
Bloomington, IN 47401

Phone 812-202-6001 · Fax 812-954-0256

Mailing address

Rise Autism Therapy Services
239 E Winslow Rd
Bloomington, IN 47401

Phone 812-887-4288 · Fax 317-520-8200

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