Grenda, John Joseph

Grenda, John Joseph is an individual health care provider with primary practice located at 418B W Mountain St , Kernersville NC 27284-2534. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Grenda, John Joseph can be contacted via phone (704) 780-4271.

Contact Information

Primary practice address
418B W Mountain St Kernersville NC 27284-2534
Phone: (704) 780-4271
Fax: (888) 261-6694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1578175774
LBN Legal business name Grenda, John Joseph
Credentials MED, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2020
Last updated Jul 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578175774 NPPES
Other 1-19-38206 BCBA CERTIFICATE

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