CLARISSA ANTONIA GRULLON BA, MA
NPI 1396187373
Behavior Analyst in New York, NY

Active since July 19, 2013
623 W 204TH ST, NEW YORK, NY 10034(917) 293-3114 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clarissa Antonia Grullon Ba, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA ANTONIA GRULLON BA, MA (NPI 1396187373) is an individual behavior analyst provider in New York, New York and active in the NPI registry since July 2013.Information from the official NPPES registry record, last updated July 19, 2013.

NPPES Registry Identity

NPI1396187373
Entity TypeIndividualFemale
Provider Legal NameCLARISSA ANTONIA GRULLONCredential: BA, MA
Location Address623 W 204TH STNew York, NY 10034-3932
Mailing Address623 W 204th St Apt 54New York, NY 10034-3961 · (917) 293-3114
Sole ProprietorNo
Enumeration DateJuly 19, 2013
NPI 1396187373 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Behavior Analyst

Taxonomy 103K00000X · Behavioral Health & Social Service Providers

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to… Show more

623 W 204TH ST, New York, NY 10034

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396187373, enumerated as an "individual" on July 19, 2013.

The provider is located at 623 W 204TH ST NEW YORK, NY 10034 and the phone number is (917) 293-3114.

Behavior Analyst with taxonomy code 103K00000X.