Individual
KARA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2005 E STATE ROAD 14, ROCHESTER, IN 46975-9134
(574) 355-0770
Mailing address
2005 E STATE ROAD 14, ROCHESTER, IN 46975-9134
(574) 355-0770
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34665
IN
106S00000X
Behavior Technician
RBT-17-32719
IN
Other
Enumeration date
02/13/2019
Last updated
01/12/2022
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