ETHAN GRANT

ALBUQUERQUE, NM
NPI1447769518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2017-09-21
Last Update Date2022-07-21
Business Address
ETHAN GRANT
8500 WASHINGTON ST STE A1
ALBUQUERQUE, NM 87113
Phone number: 505-828-3837
Mailing Address
ETHAN GRANT
8500 WASHINGTON ST NE STE A1
ALBUQUERQUE, NM 87113-1861
Phone number: 505-828-3837