Individual
GRACIE OUTZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4778 OVERTON RD., BIRMINGHAM, AL 35210-3803
(205) 957-0294
Mailing address
4778 OVERTON RD., BIRMINGHAM, AL 35210-3803
(205) 957-0294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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