Individual
GRACIE ABRAHAM CRIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RBT, QMHP A-C
Contact information
Practice address
2600 PARK TOWER DR STE 200, VIENNA, VA 22180-7394
(443) 430-8764
Mailing address
2600 PARK TOWER DR STE 200, VIENNA, VA 22180-7394
(443) 430-8764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
05/27/2026
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