Individual provider Active NPI

Elizabeth Grieder, MA

  • Behavior Analyst
  • Glastonbury, CT
National Provider Identifier
1881586931
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1376 Issued in CT
Practice address
2400 Main St
Glastonbury, CT 06033-7211
Phone
(860) 301-0603
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1376 CT Primary

Addresses

Primary practice location

2400 Main St
Glastonbury, CT 06033-7211

Mailing address

85 W Bridge St
Deep River, CT 06417-1724
Phone (860) 301-0603

Other practice location 1

85 W Bridge St
Deep River, CT 06417-1724
Phone (860) 301-0603

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1376CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1881586931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BRIDGE ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064171724",
            "telephone_number": "860-301-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060337211",
            "telephone_number": "860-301-0603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 W Bridge St",
            "address_purpose": "LOCATION",
            "city": "Deep River",
            "state": "CT",
            "postal_code": "064171724",
            "country_code": "US",
            "telephone_number": "860-301-0603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIEDER",
        "first_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.