Organization

Pantogran Llc

Behavioral Analyst in Boulder, CO(View on Map)

Legal Business Name

Pantogran Llc

NPI Number

1811729411

NPI Type

Organization

Enumeration Date

08/14/2024

Specialties

(Taxonomies)

Code

103K00000X
106E00000X
106S00000X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

996 ROYAL MARCO WAY
5305 SPINE RD STE A

City

Marco Island
Boulder

State

FL
CO

Postal Code

34145-1829
80301-3331

Country

US
US

Telephone Number

(469) 694-1754
(469) 694-1754

Authorized Official

Name

Doreen Granpeesheh

Title or Position

CHIEF EXECUTIVE OFFICER

Telephone Number

(469) 694-1754

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/14/2024

Provider Address

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