Individual
YANA GRIGORYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
715 PUTNAM PIKE, GREENVILLE, RI 02828-1428
(401) 618-6991
(401) 618-6995
Mailing address
715 PUTNAM PIKE, GREENVILLE, RI 02828-1428
(401) 618-6991
(401) 618-6995
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00153
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MO96606
—
RI
Enumeration date
11/14/2018
Last updated
11/14/2018
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