| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TIERRA LEAH GRANT | 1043938749 | 2024-05-12 |
Tierra Leah Grant is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043938749. Registration indicates Tierra Leah Grant is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Tierra Leah Grant |
| Practice Office Address | 421 FAYETTEVILLE ST RALEIGH, NC US |
| Practice Office Telephone | 8888809270 |
| Mailing Address | 603 BLADESTONE CT APEX, NC 275021355 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |