Individual
JOHN JOSEPH GRENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BCBA
Contact information
Practice address
418B W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(704) 780-4271
(888) 261-6694
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-38206
BCBA CERTIFICATE
—
Enumeration date
08/19/2020
Last updated
07/08/2021
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