Most Relevant Information
Provider Data
| NPI Number: | 1003662974 |
| Provider Name: | MEGEAN GRODE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/30/2024 |
| Last Updated: | 04/30/2024 |
Provider Practice Location
13100 W LISBON RD STE 600
BROOKFIELD
WI
530052509
Practice Location Phone/Fax
| Phone: | 8336463222 |
| Fax: |
Provider Mailing Location
224 W 35TH ST STE 500
NEW YORK
NY
100012538
Provider Mailing Phone/Fax
| Phone: | 8336463222 |
| Fax: | 8336463222 |