Shelby Lynn Granroos, CBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8811 S Tacoma Way Ste 206
Lakewood, WA 98499-4595

Phone

(253) 682-0320

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shelby Granroos Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1083378467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HUDSON LN SE APT K203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985131586",
            "telephone_number": "678-378-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 S TACOMA WAY STE 206",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994595",
            "telephone_number": "253-682-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANROOS",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "credential": "CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "GRANROOS",
            "credential": "CBT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Ray Graham, LMP
• Maureen M Graham, LMP
• Margaret Colleen Gram, PA-C
• Jessica Lynn Grandon
• Lissa Ann Grannis, D.C.
• James E Grant, LPN
• Ajanae Gray
• Dakayla Gray
• James Gray
• Richard E Gray, MD

• Behavior Technician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.