Akesha Grondin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65833 Issued in FL

Practice address

2096 Halifax Dr
Port Orange, FL 32128-3619

Phone

(617) 595-6424

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1497389753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 MAITLAND SUMMIT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328105915",
            "telephone_number": "407-574-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 HALIFAX DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321283619",
            "telephone_number": "617-595-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Maitland Summit Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328105915",
            "country_code": "US",
            "telephone_number": "407-574-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "AKESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-65833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Green
• Sarah Greene
• Lauren Gremminger
• Lloyd George Griffith Jr., RPH
• Grimes Neurology and Concussion Center, P.a.
• Glenda Katherine Grones, PH.D., FNP-C, APRN
• Sadie Grothaus
• Joshua Dale Grube, M.D.
• Kristin Gruenzel
• Shirley Guerra, DMD

• Behavior Analyst in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.