NPI 1215344452 · live from the CMS NPI Registry
Shayna Nickerson, BCBA
Behavior Analyst in Trenton, ME. National Provider Identifier 1215344452, active.
NPI record
| NPI | 1215344452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 40 Pine Ridge Ln, Trenton, ME 04605 |
| Practice phone | 207-317-6546 |
| Enumerated | July 21, 2014 |
| Last updated | July 21, 2014 |
| Sole proprietor | Yes |
| Other names | Shayna Grindle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-08-4870 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.