Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Granite Waterman

Individual provider Behavior Analyst · NPI 1174471148

Granite Waterman is a Behavior Analyst in Ventura, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2421 Portola Rd
Ventura, CA 93003-8046
Phone: (858) 264-5858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1174471148
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing address2421 Portola Rd, Ventura, CA 93003-8046

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