Sara Grigsby, LBA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47130 Issued in MI

Practice address

120 Stevens St SW
Grand Rapids, MI 49507-1526

Phone

(518) 867-5309

NPI assigned

Mar 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Plus Healthcare Services LLC

  • Nursing Care Agency
  • Flushing, MI
  • NPI 1669706149

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1265826622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STEVENS ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071526",
            "telephone_number": "518-867-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W Greenlawn Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489102889",
            "country_code": "US",
            "telephone_number": "517-657-2638",
            "fax_number": "248-712-4381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6267 Webster Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481309659",
            "country_code": "US",
            "telephone_number": "734-252-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "LBA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "7401001361",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "1-21-47130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lyle Griffith, MD
• Matthew Glenn Griffiths, PA-C
• Adylina Jerri-Ann Griffus
• Thomas J Griggs, MD
• Sona Grigoryan, MD
• Anne Grima, LMSW
• Elizabeth Jodi Grimaldi, LLMFT, MDIV
• Sydney M Grimes
• Kelli Grimm
• Faith Grimmet

• Behavior Analyst in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.