Individual
ANNALISE GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 3RD ST NW, EAST GRAND FORKS, MN 56721-1713
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
11/25/2025
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