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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDREY GRINNELL

Deactivated

AUDREY GRINNELL is a Behavior Analyst healthcare provider located in PORTLAND, Maine. NPI 1639695737 is deactivated in the NPPES registry. Verify at CMS.

Behavior Analyst · PORTLAND, ME

This NPI has been deactivated. The record was deactivated on August 16, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1639695737
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2017 (3.986301369863 yrs)
Last Updated
Sep 21, 2021
Deactivated
Aug 16, 2021
License
1-20-40729 (ME)

Practice Information

Address
37 ANDOVER RD
PORTLAND, ME, 04102
Browse ME providers · Browse ZIP 04102
Phone
2076616704
Primary Specialty
Behavior Analyst
103K00000X
Additional Specialty
Counselor

Other Behavior Analyst Providers in PORTLAND, ME

Name Credential NPI
KELLY A PELLETIER BCBA 1558648105
ALEKSANDRA IVANOVSKA ROBERSON I BCABA 1902264187
LINDSAY PAYEUR 1194279802
LEA MCDONALD M.S. 1497203772
ELYSSA DESCHAINE BCBA 1275030975
STEPHANIE RODERICK 1427527001
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.