Isabel Grundstrom
Behavior Technician in Riverview, FL. Individual provider (NPI-1).
NPI number1528957230
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1528957230
- Entity type
- Individual (NPI-1)
- Name
- Isabel Grundstrom
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11910 Boyette RdRiverview, FL 33569-5601
Phone 813-814-2000
Mailing address
11910 Boyette RdRiverview, FL 33569-5601
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