Individual
KATIE PAMELA GRAMAJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
101 BAINBRIDGE WAY, DALLAS, GA 30132-4765
(770) 456-0762
Mailing address
602 HUNTERS TRCE, DALLAS, GA 30157-9427
(678) 925-9338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79208
GA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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