Individual
CORINNE NICOLE GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
14148 MAGNOLIA BLVD STE 103, SHERMAN OAKS, CA 91423-6414
(323) 371-4954
Mailing address
14148 MAGNOLIA BLVD STE 103, SHERMAN OAKS, CA 91423-6414
(323) 371-4954
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33934
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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