Individual
GRACE MARIA EISTERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2102 CAMBRIDGE BELTWAY DR STE E, CHARLOTTE, NC 28273-4354
(704) 799-6824
Mailing address
4025 ALMA GROVE LN APT 3511, CHARLOTTE, NC 28273-4448
(573) 821-4607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3301
NC
Other
Enumeration date
07/11/2025
Last updated
09/08/2025
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