Individual provider · Type 1 NPI

Myra Elizabeth Granneman

Behavior Technician · Dearborn, MI

NPI number 1629969720 Active

Practice location

23663 Park St
Dearborn, MI 48124-2547

Fax (440) 506-6742

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1629969720

Myra Elizabeth Granneman's National Provider Identifier is 1629969720, issued on Jul 15, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 15, 2025.