Gretchen Stadnik Grundon, M.A., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-12-12007 Issued in CA

Practice address

11250 Penanova St
San Diego, CA 92129-1027

Phone

(858) 699-7579

Fax

(858) 726-6021

NPI assigned

Mar 5, 2013

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

Credentials

Master of Arts

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1346581063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17597 MONTERO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282345",
            "telephone_number": "858-208-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 PENANOVA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921291027",
            "telephone_number": "858-699-7579",
            "fax_number": "858-726-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDON",
        "first_name": "GRETCHEN",
        "middle_name": "STADNIK",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-12007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Alden Gruidel
• Mihaela Gruita
• Emily Rose Grullon, B.A.
• Luisa Maria Grunauer
• Cynthia McDonald Grunbaum
• John Robert Grundtner, LCSW
• David Grundy
• Bryan R Gruner, PT, DPT
• William Grunewald
• Rosa Grunhaus-Belzer, PH.D.

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.