Vanessa Griffin, RBT

Individual provider Active NPI Behavior Technician · Salida, CA

NPI 1699230615 · NPPES record last updated Jul 17, 2024

Key facts

NPI
1699230615
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
BACB112825 (CA)
Practice address
5716 Pirrone Rd
Salida, CA 95368-9313
Phone
(209) 649-8962
NPI assigned
Feb 4, 2019
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

LicenseStateTypeSpecialty
BACB112825CAMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB112825 CA Yes

Addresses

Primary practice location

5716 Pirrone Rd
Salida, CA 95368-9313

Mailing address

5716 Pirrone Rd
Salida, CA 95368-9313
Phone (209) 649-8962

Other practice location 1

751 Camino Plz Ste A
San Bruno, CA 94066-3401
Phone (650) 627-8045

Other providers in Salida, CA

All providers in Salida, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.