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Active NPI 1144973322 Individual Practitioner Female Practitioner

Thalia A Grundstrom , BCBA

Behavior Analyst • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Thalia Grundstrom, BCBA is a registered healthcare professional specializing in Behavior Analyst in Bangor, ME. Practice services are available at 396 GRIFFIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

396 Griffin Rd

Bangor, ME 044013006

Telephone 2079308129

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Bangor, ME (155 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-28
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NH 1-20-46683

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 practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Gabrielle Lagross

Behavior Technician

NPI 1467240994
Jennifer Huff , BCBA

Behavior Analyst

NPI 1851155337

Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2022

Registered at 396 GRIFFIN RD, BANGOR, ME 044013006 (Tel: 2079308129)

📍
Updated Business Mailing Address January 28, 2022

Registered at 760 UNION ST STE A, BANGOR, ME 044013125

👤
Provider Name / Credentials Updated January 28, 2022

Recorded as THALIA GRUNDSTROM, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2022

Behavior Analyst (License #1-20-46683 in NH)

🟢
Initial NPI Registration & Enumeration January 28, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1144973322
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2022
Last Update: January 28, 2022
Sole Proprietor: No

Mailing Address

760 Union St Ste A

Bangor, ME 044013125

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.