Provider Demographics
NPI:1811886344
Name:GRANT, ALEXA LEIGH
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:LEIGH
Last Name:GRANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 MARINE ST APT A
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6437
Mailing Address - Country:US
Mailing Address - Phone:303-807-3787
Mailing Address - Fax:
Practice Address - Street 1:16871 E 119TH AVE UNIT A
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-6330
Practice Address - Country:US
Practice Address - Phone:720-237-7925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst