Individual
CYRUS GRYGUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT, BS
Contact information
Practice address
3602 E GREENWAY RD STE 102, PHOENIX, AZ 85032-4648
(602) 560-2832
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144473
AZ
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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