Wellformed AI

NPI 1356843510 · live from the CMS NPI Registry

Dianna Grueser, Master of Education,

Behavior Analyst in Milton, WV. National Provider Identifier 1356843510, active.

NPI record

NPI1356843510 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location1707 Us Route 60 W, Milton, WV 25541
Practice phone304-743-8160
EnumeratedMarch 5, 2018
Last updatedOctober 21, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-21-51351 (WV)
Pediatrics, Developmental - Behavioral Pediatrics2080P0006X1111 (WV)
Developmental Therapist222Q00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.