Ellie Grubb
Individual provider Active NPI Behavior Technician · Pacifica, CA
NPI 1093666752 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1093666752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 853 Reina del Mar Ave
Pacifica, CA 94044-3157 - Phone
- (650) 484-6848
- NPI assigned
- Feb 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Yes |
Addresses
Primary practice location
853 Reina del Mar Ave
Pacifica, CA 94044-3157
Mailing address
853 Reina del Mar Ave
Pacifica, CA 94044-3157
Phone (650) 484-6848
Other providers in Pacifica, CA
- Priscilla Mary Gilmore
- Maria Cardenas Gines
- Robin Elizabeth Gluck
- Katherine Ryan Goetzke
- Charmaine Green
- Jesse Alexander Guzman
- Bianca Haas
- Sharon J Hagen
- Erin Hanley
- Eddye Haro
All providers in Pacifica, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. 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.