| Pantogran Llc | |
|
5305 Spine Rd Ste A Boulder CO 80301-3331 | |
| (818) 797-5902 | |
| Not Available |
| Full Name | Pantogran Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5305 Spine Rd Ste A, Boulder, Colorado |
| Authorized Official Name and Position | Doreen Granpeesheh (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8187975902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pantogran Llc 996 Royal Marco Way Marco Island FL 34145-1829 Ph: (818) 797-5902 | Pantogran Llc 5305 Spine Rd Ste A Boulder CO 80301-3331 Ph: (818) 797-5902 |
| NPI Number | 1134802911 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134802911 | NPI | - | NPPES |
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