Angelena Alexis Grant

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

7401002329 Issued in MI

Practice address

12200 E 13 Mile Rd Ste 200
Warren, MI 48093-3093

Phone

(586) 573-1862

NPI assigned

Nov 26, 2018

Last updated

Apr 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Angelena Grant Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judson Center, Inc.

  • Behavior Analyst
  • Royal Oak, MI
  • NPI 1235569013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1750851374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CLINTON RIVER DR APT 9A",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480437805",
            "telephone_number": "770-882-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ANGELENA",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401002329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELENA",
            "last_name": "GRANT",
            "credential": "MA, BCBA, LBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne Patricia Graff, RN, NP
• Nekeya M Graham
• Roshundra Graham
• Cheryl Grames, PTA
• Kenneth Granke, MD
• Renee Graves
• Jessica Gray
• Derek Grayson, M.D.
• Great Lakes Family Dental Group-Warren, P.C.
• Great Lakes Home Health Care , LLC

• Behavior Analyst in Warren, MI
• Providers in Warren, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.