ISHA LARESE GRANT

BAYSIDE, NY
NPI1225846512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-12-19
Last Update Date2024-12-19
Business Address
ISHA LARESE GRANT
21410 24TH AVE
BAYSIDE, NY 11360-2219
Phone number: 347-321-4094
Mailing Address
ISHA LARESE GRANT
133-27 230ST LAURELTON
QUEENS, NY 11413
Phone number: 347-440-6151