Grannan, Leigh Karole
Grannan, Leigh Karole is an individual health care provider with primary practice located at 625 Wham Dr - Mailcode 6607 Center For Autism Spectrum Disorders, Carbondale IL 62901-4313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Military Health Care Provider. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Grannan, Leigh Karole can be contacted via phone (618) 453-7168.Contact Information
Primary practice address
625 Wham Dr - Mailcode 6607 Center For Autism Spectrum Disorders
Carbondale IL 62901-4313
Phone: (618) 453-7168
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-04-1782 | |
Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
NPI number | 1861512501 |
---|---|
LBN Legal business name | Grannan, Leigh Karole |
Credentials | M.S., BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Nov 27th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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