Individual
GRACE CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4177 RAINBOW DR, DECATUR, GA 30034-2224
(877) 299-1655
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-51041
OK
103K00000X
Behavior Analyst
Primary
1-21-51041
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/06/2021
Last updated
06/30/2025
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