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Contact Information

LEIGH K GRANNAN, M.S., BCBA
625 WHAM DR - MAILCODE 6607
CENTER FOR AUTISM SPECTRUM DISORDERS
CARBONDALE, IL62901-4313
 Phone: 618-453-7168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for LEIGH K GRANNAN · (Female)

NPI Number 1861512501
Status Active
Credentials M.S., BCBA
Entity Individual
Enumeration date 03/29/2007
Last updated 11/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • License # 1-04-1782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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