Individual
MRS. CHRISTINA ANN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 53RD AVE W, BRADENTON, FL 34207-2867
(941) 254-4917
Mailing address
1608 53RD AVE W, BRADENTON, FL 34207-2867
(941) 254-4917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5052382
BEHAVIORAL HEALTH AND SOCIAL SERVICES
FL
Enumeration date
05/07/2013
Last updated
05/07/2013
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