SearchGeorgia103K00000X

Stacie Graham, BCBA

NPI 1013552694 · on the registry since 2019

Practice

Address
117 Castaway Ct Ne
Ludowici, GA 31316
Phone
(719) 460-1129

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia