Most Relevant Information
Provider Data
NPI Number: | 1003535451 |
Provider Name: | BRENDA LOUISE GRIPPI RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 08/26/2022 |
Last Updated: | 08/26/2022 |
Provider Practice Location
2055 W CHARLESTON BLVD STE C
LAS VEGAS
NV
891022258
Practice Location Phone/Fax
Phone: | 7024817781 |
Fax: |
Provider Mailing Location
P O BOX 646
#646
GOODSPRINGS/ JEAN
NV
89019
Provider Mailing Phone/Fax
Phone: | 7024817781 |
Fax: |