Individual
ALEXIS JADE GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 N GRANT ST, BELLEVILLE, WI 53508-9509
(608) 636-9852
Mailing address
128 N GRANT ST, BELLEVILLE, WI 53508-9509
(608) 636-9852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
11/04/2025
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