NPI 1639695737 · live from the CMS NPI Registry
Audrey Grinnell
Behavior Analyst in Portland, ME. National Provider Identifier 1639695737, active.
NPI record
| NPI | 1639695737 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 37 Andover Rd, Portland, ME 04102 |
| Practice phone | 207-661-6704 |
| Enumerated | August 21, 2017 |
| Last updated | September 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-20-40729 (ME) |
| Counselor | 101Y00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.