Stacie Graham, BCBA Valid NPI
Individual provider · Behavior Analyst · Ludowici, GA
- NPI
- 1013552694
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Analyst
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103K00000X
- License number
- 1-24-78469 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-11-07
- Last updated
- 2025-01-20
Practice location
117 Castaway Ct Ne
Ludowici, GA 31316-6294
(719) 460-1129