Audrey Grinnell
Behavior Analyst in Portland, ME. Individual provider (NPI-1).
NPI number1639695737
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1639695737
- Entity type
- Individual (NPI-1)
- Name
- Audrey Grinnell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2017
- Certification date
- Sep 20, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-40729 | ME | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
37 Andover RdPortland, ME 04102
Phone 207-661-6704
Mailing address
37 Andover RdPortland, ME 04102
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