Individual
MICHELLE ASHLEY GRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
97 MORTIMER ST SE, ATLANTA, GA 30317-1645
(305) 343-0150
(888) 892-0803
Mailing address
97 MORTIMER ST SE, ATLANTA, GA 30317-1645
(305) 343-0150
(888) 892-0803
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52719
GA
Other
Enumeration date
07/05/2017
Last updated
02/21/2025
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