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1740619444
GRANT INGRAM
SAN ANGELO, TX
NPI
1740619444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: TX 1-13-14897)
Enumeration Date
2013-11-04
Last Update Date
2013-11-04
Business Address
-- GRANT INGRAM M.Ed, BCBA
2032 W HARRIS AVE
SAN ANGELO, TX 76901-3806
Phone number: 325-320-3204
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Mailing Address
-- GRANT INGRAM M.Ed, BCBA
6026 WINNERS CIR
SAN ANGELO, TX 76904-9368
Phone number: 325-320-3204
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