Joyce Grisham
Individual provider Active NPI Assistant Behavior Analyst · Checotah, OK
NPI 1053076935 · NPPES record last updated Nov 4, 2021
Key facts
- NPI
- 1053076935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- Practice address
- 229 W Gentry Ave
Checotah, OK 74426-2439 - Phone
- (918) 360-3492
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices for Life Foster Care, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Yes |
Addresses
Primary practice location
229 W Gentry Ave
Checotah, OK 74426-2439
Mailing address
PO Box 905
Checotah, OK 74426-0905
Phone (918) 360-3492
Other providers in Checotah, OK
- Joycelyn J Garcia
- Jesse Jolee Gatewood
- GLN of Checotah Inc
- Green Country Chiropractic, Inc.
- Shannon Diane Griggs
- Carol Grover
- Misty J Haraway
- Heather L Harrison
- Shelby Hatridge
- Morgan Hays
All providers in Checotah, OK · Assistant Behavior Analyst in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.