Active NPI
Brielle Elena Grotenhuis
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1124561121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CG60706786
- Practice address
- 245 E Sheffield CT
Gilbert, AZ 85296-4050 - Phone
- (480) 247-1037
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CG60706786 | WA | Primary |
Addresses
Primary practice location
245 E Sheffield CT
Gilbert, AZ 85296-4050
Mailing address
245 E Sheffield CT
Gilbert, AZ 85296-4050
Phone (480) 247-1037
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60706786 | WA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1124561121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E SHEFFIELD CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964050",
"telephone_number": "480-247-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E SHEFFIELD CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964050",
"telephone_number": "480-247-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTENHUIS",
"first_name": "BRIELLE",
"middle_name": "ELENA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CG60706786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.