Gwendolyn Grant

NPI #1548836372 in College Point, New York

Provider Information

NPI Number: 1548836372
Entity Type: Individual
Name: Gwendolyn Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 2, 2021
Last Updated: Jun 2, 2021

Practice Location

Address: 1434 110TH ST STE 303
City: College Point
State: New York
ZIP Code: 11356-1448
Phone: (718) 569-5439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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