Provider Demographics
NPI:1205621448
Name:GRIFFITH, HONNAH ALYSSA
Entity type:Individual
Prefix:
First Name:HONNAH
Middle Name:ALYSSA
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 HARRINGTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-3128
Mailing Address - Country:US
Mailing Address - Phone:978-830-4456
Mailing Address - Fax:
Practice Address - Street 1:198 HARRINGTON ST APT 1
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-3128
Practice Address - Country:US
Practice Address - Phone:978-830-4456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician