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Individual

RILEY GRUSSING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8980 ZACHARY LN N, MAPLE GROVE, MN 55369-4018
(612) 331-9413
Mailing address
13581 POND SPRINGS RD, AUSTIN, TX 78729-4421
(512) 688-8530

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4859
TX
106S00000X
Behavior Technician

Other

Enumeration date
09/18/2019
Last updated
02/28/2022
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