Individual
IYONNA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CONCORD RD SE, SMYRNA, GA 30080-4234
(470) 666-2550
Mailing address
791 RINEHART RD, LAKE MARY, FL 32746-4876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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