Provider Demographics
NPI:1508646498
Name:NEIMAN, GRANT EDWARD
Entity Type:Individual
Prefix:
First Name:GRANT
Middle Name:EDWARD
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 DEVON RD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-4067
Mailing Address - Country:US
Mailing Address - Phone:419-367-1985
Mailing Address - Fax:
Practice Address - Street 1:780 CAPITAL AVE NE
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-5647
Practice Address - Country:US
Practice Address - Phone:419-367-1985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician