Grant Michael Vanderklipp

NPI #1225712433 in Southlake, Texas

Provider Information

NPI Number: 1225712433
Entity Type: Individual
Name: Grant Michael Vanderklipp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 2104 GREENBRIAR DR
City: Southlake
State: Texas
ZIP Code: 76092-8355
Phone: (817) 442-9022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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