JADAE GRISSOM
NPI 1184528465
Behavior Technician in San Bernardino, CA
About Jadae Grissom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADAE GRISSOM (NPI 1184528465) is an individual behavior technician in San Bernardino, California and active in the NPI registry since October 2026.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jadae Grissom's NPI number?
The NPI number for Jadae Grissom is 1184528465. It was assigned to this individual provider in the NPPES registry on October 8, 2026.
Where is Jadae Grissom located?
Jadae Grissom practices at 377 Northpark Blvd, San Bernardino, CA 92407. The listed phone number is (951) 229-1179.
What is Jadae Grissom's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Jadae Grissom was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.