Active NPI
Dana Grindstaff, BCBA, LBA
- Behavior Analyst
- Radford, VA
National Provider Identifier
1720625767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133002651
- Practice address
- 6245 University Park Dr
Radford, VA 24141-8632 - Phone
- (540) 348-4808
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0133002651 | VA | Primary |
Addresses
Primary practice location
6245 University Park Dr
Radford, VA 24141-8632
Mailing address
6245 University Park Dr
Radford, VA 24141-8632
Phone (540) 348-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133002651 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1720625767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 UNIVERSITY PARK DR",
"city": "RADFORD",
"state": "VA",
"postal_code": "241418632",
"telephone_number": "540-348-4808",
"fax_number": "540-838-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 UNIVERSITY PARK DR",
"city": "RADFORD",
"state": "VA",
"postal_code": "241418632",
"telephone_number": "540-348-4808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINDSTAFF",
"first_name": "DANA",
"credential": "BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133002651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.