Jake Anthony Grant

NPI #1568178598 in Norco, California

Provider Information

NPI Number: 1568178598
Entity Type: Individual
Name: Jake Anthony Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 1771 3RD ST STE 101
City: Norco
State: California
ZIP Code: 92860-2670
Phone: (951) 686-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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