Individual
ASHA GROSSBERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E MAGNOLIA ST, BELLINGHAM, WA 98225-4580
(360) 820-5835
Mailing address
1932 18TH ST APT J104, BELLINGHAM, WA 98225-8007
(914) 707-2742
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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