Individual
CARLY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS, CMS, RBT
Contact information
Practice address
19540 AMARANTH DR, GERMANTOWN, MD 20874-1202
(844) 244-1818
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MD
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/01/2022
Last updated
04/24/2026
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