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Individual

JESSICA NICOLE GRIEGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA, LBA

Contact information

Practice address
7107 WOODLAND LN, ALPHARETTA, GA 30009-8722
(770) 364-4578
Mailing address
7107 WOODLAND LN, ALPHARETTA, GA 30009-8722
(770) 364-4578

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46127
GA
103K00000X
Behavior Analyst
1576
NC
103K00000X
Behavior Analyst
GA

Other

Enumeration date
12/10/2020
Last updated
04/22/2024
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