Organization
GRACE ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA BAILEY BCBA (OWNER & CEO)
(209) 430-1887
Entity
Organization
Contact information
Practice address
315 ASHFORD CIR, LAGRANGE, GA 30240-8895
(209) 430-1887
Mailing address
315 ASHFORD CIR, LAGRANGE, GA 30240-8895
(209) 430-1887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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