Granville, Tanya Dora

Granville, Tanya Dora is an individual health care provider with primary practice located at 3007 Harbor Ln N Ste 1200 , Plymouth MN 55447-5103. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Granville, Tanya Dora can be contacted via phone (612) 439-4650.

Contact Information

Primary practice address
3007 Harbor Ln N Ste 1200 Plymouth MN 55447-5103
Phone: (612) 439-4650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1740932508
LBN Legal business name Granville, Tanya Dora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2022
Last updated Apr 20th, 2022 - about 3 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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