Most Relevant Information
Provider Data
| NPI Number: | 1003422379 |
| Provider Name: | BIANCA GRANT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2020 |
| Last Updated: | 09/21/2020 |
Provider Practice Location
1485 SARATOGA AVE STE 200
SAN JOSE
CA
951294965
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: |
Provider Mailing Location
55 E COLORADO BLVD STE 560
PASADENA
CA
911051901
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: | 8182416853 |