Grimshaw, Autumn Starr

Grimshaw, Autumn Starr is an individual health care provider with primary practice located at 62 Providence Pike , Putnam CT 06260-2412. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Grimshaw, Autumn Starr can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
62 Providence Pike Putnam CT 06260-2412
Phone: (818) 241-6780
Fax: (818) 241-6853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770127458
LBN Legal business name Grimshaw, Autumn Starr
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 6 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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