Grigg, Andrea Renee

Grigg, Andrea Renee is an individual health care provider with primary practice located at 1739 N Elston Ave , Chicago IL 60642-1544. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Eye and Vision Services Providers / Technician/Technologist, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Grigg, Andrea Renee can be contacted via phone (248) 761-0771.

Contact Information

Primary practice address
1739 N Elston Ave Chicago IL 60642-1544
Phone: (248) 761-0771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Eye and Vision Services Providers / Technician/Technologist 156F00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-12660 Illinois

Profile Details

NPI number 1497270318
LBN Legal business name Grigg, Andrea Renee
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2017
Last updated Sep 23rd, 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 1497270318 NPPES
Illinois Other 0-21-12660 BCABA

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