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NPI Code Detail

MEDICARE: ANTRANIA GRADY

MEDICARE: ANTRANIA GRADY
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 TechnicianCA

General Provider Information

NPI Number : 1447193909
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTRANIA GRADY
Provider Business Mailing Address
First Line : 4540 HARLIN DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-9716
Country : US
Telephone Number : 916-364-7800
Fax Number :
Provider Business Practice Location Address
First Line : 4540 HARLIN DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-9716
Country : US
Telephone Number : 916-364-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ ANTRANIA GRADY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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