Individual
ALICIA NICOLE GRINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3661 SUNSET AVE STE 353, ROCKY MOUNT, NC 27804-3411
(919) 763-4653
Mailing address
3661 SUNSET AVE STE 353, ROCKY MOUNT, NC 27804-3411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB807294
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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