Carrie Lee Grant
Behavior Technician in Traverse City, MI. Individual provider (NPI-1).
NPI number1760143531
StatusActive
Last updated in NPPESJan 4, 2022
Details
- NPI
- 1760143531
- Entity type
- Individual (NPI-1)
- Name
- Carrie Lee Grant
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2022
- Certification date
- Jan 4, 2022
- Last updated
- Jan 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
10781 E Cherry Bend RdTraverse City, MI 49684-5249
Phone 231-268-0007 · Fax 231-525-3170
Mailing address
945 Barlow StTraverse City, MI 49686-4250
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Other Behavior Technician providers in Traverse City, MI
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All 519 Behavior Technician providers in Traverse City · All 4,445 providers in Traverse City
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