Organization
GRACIOUS GROWTH ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVROHOM MARMORSTEIN (CEO)
(917) 771-4207
Entity
Organization
Contact information
Practice address
2942 N 24TH ST STE 115, PHOENIX, AZ 85016-7849
(917) 771-4207
Mailing address
2942 N 24TH ST STE 115, PHOENIX, AZ 85016-7849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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