Jennie Ann Granger, BCBA

NPI #1407373012 in Melville, New York

Provider Information

NPI Number: 1407373012
Entity Type: Individual
Name: Jennie Ann Granger, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 24, 2017
Last Updated: Jan 26, 2021

Practice Location

Address: 225 BROADHOLLOW RD
City: Melville
State: New York
ZIP Code: 11747-4822
Phone: (631) 385-7780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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