Mahogany Grissom
Mahogany Grissom is a Behavior Technician in Modesto, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2630 W Rumble RdModesto, CA 95350-0155
Phone: (209) 222-2378
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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 | 1578335949 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 27, 2023 |
| Last updated in NPPES | October 27, 2023 |
| Certification date | October 27, 2023 |
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