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Organization
GRACE AUTISM SERVICES INC
Active
Organization
GRACE AUTISM SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA OWENS (CEO / OWNER)
(912) 434-4343
Entity
Organization
Contact information
Practice address
1481 DEAN FOREST RD # BUILD100, SAVANNAH, GA 31405-9342
(912) 434-4343
(912) 452-9600
Mailing address
1 DIAMOND CAUSEWAY, SUITE 21 - 121, SAVANNAH, GA 31406-9515
(912) 434-4343
(912) 452-9600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-14-9630
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
1-19-34978
BEHAVIOR ANALYST CERTIFICATION BOARD (BCBA)
GA
01
—
1-23-65473
BEHAVIOR ANALYST CERTIFICATION BOARD
—
01
—
1124638150
NPI
—
01
—
1508255365
NPI
—
01
—
1699216648
NPI
—
Enumeration date
02/21/2020
Last updated
01/03/2024
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