Individual
AMBROSIA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8646 GUION RD, INDIANAPOLIS, IN 46268-3011
(317) 334-7331
Mailing address
5556 N MERIDIAN ST, INDIANAPOLIS, IN 46208-2658
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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