Jillian Zofia Grantham

NPI #1265295174 in Statesboro, Georgia

Provider Information

NPI Number: 1265295174
Entity Type: Individual
Name: Jillian Zofia Grantham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 2, 2024
Last Updated: Feb 2, 2024

Practice Location

Address: 17358 GA-67
Address 2: 158
City: Statesboro
State: Georgia
ZIP Code: 30458-3045
Phone: (908) 752-5524

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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