Active NPI
Miranda Grieco, BCBA, LBA
- Behavior Analyst
- Loudon, NH
National Provider Identifier
1245764711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3424
- Practice address
- 64 Dragonfly Dr
Loudon, NH 03307-0936 - Phone
- (516) 971-4441
- NPI assigned
- Apr 11, 2017
- Reactivated
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 3424 | TX | Primary |
Addresses
Primary practice location
64 Dragonfly Dr
Loudon, NH 03307-0936
Mailing address
64 Dragonfly Dr
Loudon, NH 03307-0936
Phone (516) 971-4441
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 |
|---|---|---|---|
| 3424 | TX | MD | Behavioral Analyst |
Networks
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1245764711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 DRAGONFLY DR",
"city": "LOUDON",
"state": "NH",
"postal_code": "033070936",
"telephone_number": "516-971-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 DRAGONFLY DR",
"city": "LOUDON",
"state": "NH",
"postal_code": "033070936",
"telephone_number": "516-971-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIECO",
"first_name": "MIRANDA",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-11",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"deactivation_date": "2022-09-14",
"reactivation_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "3424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loudon, NH
- Ashley Crawford, LNA
- Daylight Aa Living Home Care LLC
- Chelcie Dubois, CPHDH
- Sierra Earl
- Donald Falkowski, APRN
- Rebecca Hammond, RTT
- Healing Centered Holistic Counseling and Wellness PLLC
- Christina Lynn Heppding, OTL, CTP, CMHIMP
- Innovative Services of New Hampshire
- Integrative Wellness Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.