MYRA GRANNEMAN
Behavior Technician
Active
Individual
NPI: 1629969720
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1629969720 is the National Provider Identifier for MYRA GRANNEMAN, a Behavior Technician provider located in Dearborn, MI. This NPI was enumerated on July 15, 2025.
MYRA GRANNEMAN practices at 23663 PARK ST, Dearborn, MI 48124.
Quick Facts
- NPI
- 1629969720
- Type
- Individual
- Enumerated
- Jul 15, 2025
- Last Updated
- Jul 15, 2025
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