DEANDRE DESHAWN GRIDER
NPI 1457871899
Day Training/Habilitation Specialist in Conway, AR

Active since June 27, 2017
2740 COLLEGE AVE, CONWAY, AR 72034(501) 329-5459(501) 327-1738 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 27, 2017 (2 updates tracked since 2017).

About Deandre Deshawn Grider NPPES

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

DEANDRE DESHAWN GRIDER (NPI 1457871899) is an individual day training/habilitation specialist in Conway, Arkansas and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1457871899
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameDEANDRE DESHAWN GRIDER
Location Address2740 COLLEGE AVEConway, AR 72034-6141
Mailing Address2740 College AveConway, AR 72034-6141 · (501) 329-5459 · Fax (501) 327-1738
Fax(501) 327-1738
Sole ProprietorNo
Enumeration DateJune 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1457871899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
2740 COLLEGE AVE, Conway, AR 72034

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Licensed Practical Nurse
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034
Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Physical Therapist
2740 COLLEGE AVE
CONWAY, AR 72034
Speech-Language Pathologist
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034
Behavior Technician
2740 COLLEGE AVE
CONWAY, AR 72034

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 Deandre Grider's NPI number?

The NPI number for Deandre Grider is 1457871899. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Deandre Grider located?

Deandre Grider practices at 2740 College Ave, Conway, AR 72034. The listed phone number is (501) 329-5459.

What is Deandre Grider's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Deandre Grider was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.