Individual provider Active NPI

Emma Mae Grindstaff

  • Behavior Technician
  • Flint, MI
National Provider Identifier
1083428759
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1402 S Saginaw St
Flint, MI 48503-3705
Phone
(810) 496-5553
Fax
(810) 257-3755
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1402 S Saginaw St
Flint, MI 48503-3705

Mailing address

706 Bush St
Linden, MI 48451-9047
Phone (810) 522-0872

Other practice location 1

3290 W Big Beaver Rd Ste 510
Troy, MI 48084-2917
Phone (734) 513-2731 ext. 336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1083428759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 BUSH ST",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519047",
            "telephone_number": "810-522-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033705",
            "telephone_number": "810-496-5553",
            "fax_number": "810-257-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3290 W Big Beaver Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480842917",
            "country_code": "US",
            "telephone_number": "734-513-2731 x336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINDSTAFF",
        "first_name": "EMMA",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.