Kecia Rose Granger

NPI #1346123312 in Hermantown, Minnesota

Provider Information

NPI Number: 1346123312
Entity Type: Individual
Name: Kecia Rose Granger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2025
Last Updated: Jul 28, 2025

Practice Location

Address: 5155 MILLER TRUNK HWY
City: Hermantown
State: Minnesota
ZIP Code: 55811-1203
Phone: (952) 767-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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