Most Relevant Information
Provider Data
| NPI Number: | 1003647553 |
| Provider Name: | DARREN LAMONT GRANT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2024 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
121 INTERPARK BLVD STE 104
SAN ANTONIO
TX
782161844
Practice Location Phone/Fax
| Phone: | 8887540398 |
| Fax: |
Provider Mailing Location
2154 COLLINS ALY
CONVERSE
TX
781091896
Provider Mailing Phone/Fax
| Phone: | 2108736345 |
| Fax: |