| NPI | 1780232157 |
|---|---|
| Former Name | STEPHANIE NATALIE GRILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 11833114) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: 1-18-33114) | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-10-20 |