Individual
ALEXANDER WILLIAM GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 JEFFERSON PKWY STE 202, LAKE OSWEGO, OR 97035-1252
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38897
OR
247200000X
Other Technician
ABA-IN-10202254
OR
Other
Enumeration date
09/23/2019
Last updated
03/30/2020
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