Leatrice A Grantham

NPI #1033672050 in Waipahu, Hawaii

Provider Information

NPI Number: 1033672050
Entity Type: Individual
Name: Leatrice A Grantham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 8, 2019
Last Updated: Apr 8, 2019

Practice Location

Address: 94-849 LUMIAINA ST UNIT 201
City: Waipahu
State: Hawaii
ZIP Code: 96797-5677
Phone: (808) 294-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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