Individual
GRACIE THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 NE EXPY 110, ATLANTA, GA 30341
(678) 909-2271
Mailing address
155 RIDGEBACK RD, TALKING ROCK, GA 30175-4726
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
060782335
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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