Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JODY GRUBBS, MHP
ActiveJODY GRUBBS, MHP is a Behavior Technician healthcare provider located in MOUNT VERNON, Illinois. NPI 1558902940 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · MOUNT VERNON, IL
Registration Details
- NPI Number
- 1558902940
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 7, 2019 (6.6661223355747 yrs)
- Last Updated
- Sep 13, 2023
- License
-
CB60975961 (WA)
Practice Information
- Address
-
4110 N WATER TOWER PLMOUNT VERNON, IL, 628646295Browse IL providers · Browse ZIP 62864
- Phone
- 2242838876
- Fax
- 3607188542
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
Other Behavior Technician Providers in MOUNT VERNON, IL
| Name | Credential | NPI |
|---|---|---|
| JAYLYN PHILLIPS | — | 1114878618 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.