Individual
THOMAS GREBOUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, BCBA-D
Contact information
Practice address
1247 WASHINGTON RD STE 25, RYE, NH 03870-2346
(603) 674-4267
Mailing address
PO BOX 342, BERWICK, ME 03901-0342
(603) 674-4267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
344
NH
103K00000X
Behavior Analyst
1-13-12797
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336508191
—
NH
Enumeration date
02/22/2016
Last updated
07/13/2018
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