THALIA A GRUNDSTROM

BANGOR, ME
NPI1144973322
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: NH  1-20-46683)
Enumeration Date2022-01-28
Last Update Date2022-01-28
Business Address
THALIA A GRUNDSTROM BCBA
396 GRIFFIN RD
BANGOR, ME 04401-3006
Phone number: 207-930-8129
Mailing Address
THALIA A GRUNDSTROM BCBA
760 UNION ST STE A
BANGOR, ME 04401-3125
Phone number: