Individual
BRIAN SCOTT GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4143 COLUMBIA RD STE B, MARTINEZ, GA 30907-5405
(705) 755-2785
(706) 755-2783
Mailing address
4143 COLUMBIA RD STE B, MARTINEZ, GA 30907-5405
(706) 755-2785
(706) 755-2783
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329347
CO
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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