Riley C Grimsley
Individual provider Active NPI Behavior Technician · Trinity, FL
NPI 1659264802 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1659264802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- BACB1304689 (FL)
- Practice address
- 12823 Solola Way
Trinity, FL 34655-7246 - Phone
- (727) 534-6042
- NPI assigned
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1304689 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1304689 | FL | Yes |
Addresses
Primary practice location
12823 Solola Way
Trinity, FL 34655-7246
Mailing address
12823 Solola Way
Trinity, FL 34655-7246
Phone (727) 534-6042
Other providers in Trinity, FL
- Tara Nicole Gosnik
- Fernanda Gray
- Sarah Nicole Gray
- Kevin Joseph Greenwood
- Gretchen Mullin LLC
- Ursula Groll
- Growth & Recovery Counseling Center LLC
- Growth and Recovery Center
- Adam Jacob Grunbaum
- Steven Gryn
All providers in Trinity, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.