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NPI Code Detail

MEDICARE: TAIMA KIONA GRANGER

MEDICARE:   TAIMA KIONA GRANGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1417888181
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAIMA KIONA GRANGER
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Provider Business Practice Location Address
First Line : 139 JAMES COMEAUX RD STE B
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3376
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ TAIMA KIONA GRANGER ” Practice Location

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