Grantham, Jade Whitney
Grantham, Jade Whitney is an individual health care provider with primary practice located at 2500 Bobcat Village Center Rd Unit H , North Port FL 34288-8476. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Grantham, Jade Whitney can be contacted via phone (239) 778-6574.Contact Information
Primary practice address
2500 Bobcat Village Center Rd Unit H
North Port FL 34288-8476
Phone: (239) 778-6574
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-41509 | Florida |
Profile Details
| NPI number | 1912411919 |
|---|---|
| LBN Legal business name | Grantham, Jade Whitney |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2017 |
| Last updated | Jan 18th, 2024 - about 10 months 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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