Elyse Grosskopf
Behavior Technician in Granite Bay, CA. Individual provider (NPI-1).
NPI number1457856411
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1457856411
- Entity type
- Individual (NPI-1)
- Name
- Elyse Grosskopf
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2018
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-28328 | CA | Yes |
Practice location
4196 Douglas BlvdGranite Bay, CA 95746-5904
Phone 916-489-1376 · Fax 916-489-1386
Mailing address
Po Box 5157Modesto, CA 95352-5157
Phone 209-572-2589
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All 242 Behavior Technician providers in Granite Bay · All 511 providers in Granite Bay
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