Dianna Grueser, MASTER OF EDUCATION,

Individual provider Active NPI Behavior Analyst · Milton, WV

NPI 1356843510 · NPPES record last updated Oct 21, 2021

Key facts

NPI
1356843510
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-51351 (WV)
Practice address
1707 US Route 60 W
Milton, WV 25541-1133
Phone
(304) 743-8160
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1111WVMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Possabilities, Inc. Current
since Oct 24, 2021
Accepting new patients

Locations

1707 US Route 60 W
Milton, WV 25541
Phone (304) 654-8370

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-51351 WV Yes
Developmental - Behavioral Pediatrics Physician 2080P0006X 1111 WV
Developmental Therapist 222Q00000X

Addresses

Primary practice location

1707 US Route 60 W
Milton, WV 25541-1133

Mailing address

1707 US Route 60 W
Milton, WV 25541-1133
Phone (304) 743-8160

Other providers in Milton, WV

All providers in Milton, WV · Behavior Analyst in West Virginia

Sources for this page

Verify at the official NPI Registry.