Hailey Lynn Gryske, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8117 Ebenezer Church Rd
Raleigh, NC 27612-7307

Phone

(910) 493-3555

NPI assigned

Feb 25, 2019

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A New Leaf Therapeutic Services, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1710391867

  Behavior Analyst

  NPD (past)
• Autism Living Experience, LLC

  dba Opal Autism Centers

  • Behavior Analyst
  • Charlotte, NC
  • NPI 1437800604
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1730646902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 EBENEZER CHURCH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 EBENEZER CHURCH RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127307",
            "telephone_number": "910-493-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRYSKE",
        "first_name": "HAILEY",
        "middle_name": "LYNN",
        "credential": "MS, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark John Gruchacz, M.D.
• Rachel Gruebel
• Timothy Lynn Gruebel, M.D.
• Erin O'Connor Grupp, LCSW, LCAS
• Brooke E Gruschow
• Nicole Gryzik, AU.D.
• GSB Enterprise LLC
• Gerardo Guadarrama Jr., OD
• Lawrence Guan, MD
• Guardian Angel Home Care, Inc

• Behavior Analyst in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.