Provider Demographics
NPI:1881170553
Name:GRIER, JAMES THOMAS JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:GRIER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2808
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95696-2808
Mailing Address - Country:US
Mailing Address - Phone:510-328-7176
Mailing Address - Fax:
Practice Address - Street 1:2 PADRE PKWY
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2124
Practice Address - Country:US
Practice Address - Phone:707-228-6167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst