Individual
ALEXIS RENAE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3951 PERFORMANCE DR STE G, SACRAMENTO, CA 95838-3264
(916) 921-0828
Mailing address
3425 COFFEE RD STE C2, MODESTO, CA 95355-1582
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
10/28/2020
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