Individual
REBECCA GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700B CROMWELL DR, GREENVILLE, NC 27858-5852
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-26-89302
NC
103K00000X
Behavior Analyst
Primary
4382
NC
106S00000X
Behavior Technician
RBT-23-295351
NC
Other
Enumeration date
11/07/2023
Last updated
06/03/2026
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