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Ms. Leigh Karole Grannan, MS,BCBA
Military Health Care Provider in Carbondale, Illinois
NPI 1861512501

Leigh Karole Grannan is a Military Health Care Provider based in Makanda, IL. Leigh Karole Grannan practices in Carbondale, IL and has the professional credentials of MS,BCBA. The NPI Number for Leigh Karole Grannan is 1861512501 and holds a License No. 1-04-1782 (Illinois).

The current practice location address for Leigh Karole Grannan is 625 Wham Dr - Mailcode 6607, Carbondale, IL and can be reached out via phone at 618-453-7168.

Location: 625 Wham Dr - Mailcode 6607, Carbondale, IL, 62958-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861512501
Provider Name
Leigh Karole Grannan
Credential
MS,BCBA
Provider Entity Type
Individual
Gender
Female
Address
625 Wham Dr - Mailcode 6607, Carbondale, IL, 62958-2154
Phone Number
618-453-7168
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Wham Dr - Mailcode 6607
City
Carbondale
State
Illinois
Zip
62901-4313
Phone Number
618-453-7168
Fax Number
person
Provider Business Mailing Address Details
Address
625 Wham Dr - Mailcode 6607
City
Carbondale
State
Illinois
Zip
62901-4313
Phone Number
618-453-7168
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
1-04-1782 ()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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