Katelyn Grant

NPI #1043781818 in Cheyenne, Wyoming

Provider Information

NPI Number: 1043781818
Entity Type: Individual
Name: Katelyn Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2018
Last Updated: Dec 5, 2018

Practice Location

Address: 1704 WESTLAND RD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3322
Phone: (605) 906-8806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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