Jenna Grissom
Jenna Grissom is a Behavior Technician in O Fallon, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
634 N Main StO Fallon, IL 62269-3751
Phone: (618) 726-0701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1538808761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 4, 2022 |
| Last updated in NPPES | June 4, 2022 |
| Certification date | June 4, 2022 |
| Mailing address | 5850 Granite Pkwy Ste 600, Plano, TX 75024-6753 |
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