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Deactivated NPI 1639695737 Deactivated / Inactive NPI Female Practitioner

Audrey Grinnell

Behavior Analyst • Portland, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Audrey Grinnell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2017
NPI Deactivation Date August 16, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Audrey Grinnell was a registered Behavior Analyst practicing in Portland, ME. Throughout an active medical career spanning 4 years, Audrey Grinnell provided care at the practice location at 37 ANDOVER RD until profile deactivation on 2021-08-16.

Practice Location & Contact Primary Location

Practice Address

37 Andover Rd

Portland, ME 04102

Telephone 2076616704

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Portland, ME

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

Practicing in Portland, 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: 2021-09-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License ME 1-20-40729

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

20 Associated Practitioners
James Livengood , SLP

Speech-Language Pathologist

NPI 1023325057

Speech-Language Pathologist

Carissa Cavallaro , LCSW

Social Worker - Clinical

NPI 1033673645

Licensed Clinical Social Worker

Michelle Sharood , BCBA

Behavior Analyst

NPI 1093433195

Board Certified Behavior Analyst

Kerri Watkoske , BCBA

Behavior Analyst

NPI 1205650975

Board Certified Behavior Analyst

Spenser Marley , OT

Occupational Therapist

NPI 1255905857

Occupational Therapist

Mercedez Jones

Behavior Technician

NPI 1285406488

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 21, 2021

Registered at 37 ANDOVER RD, PORTLAND, ME 04102 (Tel: 2076616704)

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Updated Business Mailing Address September 21, 2021

Registered at 37 ANDOVER RD, PORTLAND, ME 04102

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Provider Name / Credentials Updated September 21, 2021

Recorded as AUDREY GRINNELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2021

Behavior Analyst (License #1-20-40729 in ME)

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NPI Profile Deactivated August 16, 2021

Record deactivated on August 16, 2021

NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2017

Registered at 74 LUNT RD, FALMOUTH, ME 041051995 (Tel: 2076137324)

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Updated Business Mailing Address August 21, 2017

Registered at 74 LUNT RD, FALMOUTH, ME 041051995

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Provider Name / Credentials Updated August 21, 2017

Recorded as AUDREY GRINNELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Counselor

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Initial NPI Registration & Enumeration August 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639695737
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2017
Last Update: September 21, 2021
Deactivation Date: August 16, 2021
Sole Proprietor: No

Mailing Address

37 Andover Rd

Portland, ME 04102

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.