Brock LM Grant

Behavior Technician · Eagle River, AK

Individual Active NPI

NPI number 1063387553

Practice location

16941 N Eagle River Loop Rd Ste 3
Eagle River, AK 99577-7824
Phone
(907) 206-4421

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NPI record

NPI
1063387553
Entity type
Individual (Type 1)
Enumeration date
October 6, 2025
Last updated
October 6, 2025
Certified
October 6, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1080 E Seneca Ave
Wasilla, AK 99654-7164

About Brock Grant

Brock LM Grant is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 16941 N Eagle River Loop Rd Ste 3, Eagle River, AK 99577-7824. The NPI number 1063387553 was assigned on October 6, 2025 and the record was last updated on October 6, 2025.

Frequently asked questions

What is the NPI number of Brock LM Grant?

The NPI number is 1063387553.

What is the phone number of Brock Grant?

The phone number listed for the practice location is (907) 206-4421.

Where is Brock Grant located?

16941 N Eagle River Loop Rd Ste 3, Eagle River, AK 99577-7824.

What is the taxonomy code for Brock Grant?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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