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NPI Code Detail

MEDICARE: GRANT BIGBY

MEDICARE: GRANT BIGBY
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 Technician

General Provider Information

NPI Number : 1689525776
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT BIGBY
Provider Business Mailing Address
First Line : 10340 MIDLAND RD
Second Line :
City : FREELAND
State : MI
Zip : 48623-9728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7110 MICHIGAN RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-9310
Country : US
Telephone Number : 989-757-7514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ GRANT BIGBY ” Practice Location

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