Steffany Griswold

Individual provider Active NPI Behavior Technician · Umatilla, FL

NPI 1619403102 · NPPES record last updated May 3, 2017

Key facts

NPI
1619403102
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
19833 Saltsdale Rd
Umatilla, FL 32784-9242
Phone
(352) 989-3731
NPI assigned
May 3, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

19833 Saltsdale Rd
Umatilla, FL 32784-9242

Mailing address

19833 Saltsdale Rd
Umatilla, FL 32784-9242
Phone (352) 989-3731

Other providers in Umatilla, FL

All providers in Umatilla, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.