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

Myra Elizabeth Granneman

Individual provider Behavior Technician · NPI 1629969720

Myra Elizabeth Granneman is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

23663 Park St
Dearborn, MI 48124-2547
Phone: (440) 506-6742
Fax: (440) 506-6742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1629969720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address23663 Park St, Dearborn, MI 48124-2547

Other providers in Dearborn