Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Grissom

Individual provider Behavior Technician · NPI 1902685787

Andrea Grissom is a Behavior Technician in Port Huron, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1014 Holland Ave
Port Huron, MI 48060-1513
Phone: (810) 937-5012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1902685787
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address1014 Holland Ave, Port Huron, MI 48060-1513

Other providers in Port Huron