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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