Individual
CONNIE JO GRILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
8915 S HARL AVE, TEMPE, AZ 85284-1030
(480) 672-0536
(317) 520-8200
Mailing address
2200 N TREKELL RD LOT 35, CASA GRANDE, AZ 85122-1206
(520) 333-7338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000813
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-56925
BCBA CERTIFICATE
—
Enumeration date
02/13/2022
Last updated
07/24/2025
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