Individual provider Active NPI

Michelle Ashley Gru, MA, BCBA

  • Behavior Analyst
  • Atlanta, GA
National Provider Identifier
1992226468
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52719 Issued in GA
Practice address
97 Mortimer St SE
Atlanta, GA 30317-1645
Phone
(305) 343-0150
Fax
(888) 892-0803
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 1-21-52719 GA Primary

Addresses

Primary practice location

97 Mortimer St SE
Atlanta, GA 30317-1645

Mailing address

97 Mortimer St SE
Atlanta, GA 30317-1645
Phone (305) 343-0150

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gruving Behavior Therapy LLC Behavior Analyst CurrentSince Feb 23, 2025 Accepting new patients
Florida Autism Center Behavior Analyst PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1992226468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MORTIMER ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171645",
            "telephone_number": "305-343-0150",
            "fax_number": "888-892-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MORTIMER ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171645",
            "telephone_number": "305-343-0150",
            "fax_number": "888-892-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRU",
        "first_name": "MICHELLE",
        "middle_name": "ASHLEY",
        "credential": "MA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-21-52719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.