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NPI Code Detail

MEDICARE: OREN GRANT

MEDICARE: OREN GRANT
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
1106S00000XBehavior TechnicianKS

General Provider Information

NPI Number : 1801750575
Entity Type Code : Individual
Provider Name (Legal Business Name) : OREN GRANT
Provider Business Mailing Address
First Line : 10875 GRANDVIEW DR STE 2200
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66210-1510
Country : US
Telephone Number : 816-301-4533
Fax Number :
Provider Business Practice Location Address
First Line : 913 SHEIDLEY AVE STE 200
Second Line :
City : BONNER SPRINGS
State : KS
Zip : 66012-1825
Country : US
Telephone Number : 816-301-4533
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ OREN GRANT ” Practice Location

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