Elaina Grumblatt

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2101 Arc Dr
Saint Augustine, FL 32084-0512

Phone

(904) 824-7249

Fax

(904) 824-8063

NPI assigned

Feb 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jacksonville Autism Clinic LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265016927
  NPD
• Jacksonville School for Autism

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1295077840
  NPD

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1306385109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ARC DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320840512",
            "telephone_number": "904-824-7249",
            "fax_number": "904-824-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ARC DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320840512",
            "telephone_number": "904-824-7249",
            "fax_number": "904-824-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUMBLATT",
        "first_name": "ELAINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Lynn Groeger, M.S., CCC-SLP
• David J Gross, MD
• Ashley Grout Hennessee
• Growing Families Midwifery Service and Birth Center
• Denise Marie Grubb, LMFT
• Connie Grzembski
• Nicholas John Guardia, DPT PT
• Ashley Jarriel Gucwa, PA-C
• Regan Marie Guess, PT, DPT
• Jennifer Guettler-Henderson

• Behavior Technician in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.