Individual
AKESHA GRONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2096 HALIFAX DR, PORT ORANGE, FL 32128-3619
(617) 595-6424
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 574-4629
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65833
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/26/2020
Last updated
06/08/2023
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