Individual
GRACE ELIZABETH REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2476 US HIGHWAY 280, AILEY, GA 30410-3538
(404) 924-6220
Mailing address
2400 OAKDALE RD, DUBLIN, GA 31021-1281
(478) 697-2093
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-197900
GA
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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