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1033858881
GRANT LAFORGE
BASEHOR, KS
NPI
1033858881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-05-31
Last Update Date
2023-10-04
Business Address
GRANT LAFORGE
1106 N 155TH ST STE B
BASEHOR, KS 66007-7100
Phone number: 913-662-7071
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Mailing Address
GRANT LAFORGE
1106 N 155TH ST STE B
BASEHOR, KS 66007-7100
Phone number: 913-662-7071
Copy
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