Individual
ANTHONY GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 LIGHT STREET, BALTIMORE, MD 21202
(386) 767-3752
Mailing address
709 NORTH BELNORD AVENUE, BALTIMORE, MD 21205
(410) 424-7257
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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