Allison Gradzki
Individual provider Active NPI Behavior Technician · Deerfield BCH, FL
NPI 1831625680 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1831625680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817 - Phone
- (888) 880-9270
- NPI assigned
- May 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Mailing address
500 Fairway Dr Ste 102
Deerfield BCH, FL 33441-1817
Phone (888) 880-9270
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- Tina Gray
- Nia Green
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All providers in Deerfield BCH, 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 11, 2017. 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.