| Grace Autism Services Inc | |
|
1481 Dean Forest Rd # Build100 Savannah GA 31405-9342 | |
| (912) 434-4343 | |
| (912) 452-9600 |
| Full Name | Grace Autism Services Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1481 Dean Forest Rd # Build100, Savannah, Georgia |
| Authorized Official Name and Position | Amanda Owens (CEO / OWNER) |
| Authorized Official Contact | 9124344343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Autism Services Inc 1 Diamond Causeway Suite 21 - 121 Savannah GA 31406-9515 Ph: (912) 434-4343 | Grace Autism Services Inc 1481 Dean Forest Rd # Build100 Savannah GA 31405-9342 Ph: (912) 434-4343 |
| NPI Number | 1154954725 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 01/03/2024 |
| Certification Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154954725 | NPI | - | NPPES |
| 1508255365 | Other | NPI | |
| 1-14-9630 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| 1-23-65473 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| 1699216648 | Other | NPI | |
| 1-19-34978 | Other | GA | BEHAVIOR ANALYST CERTIFICATION BOARD (BCBA) |
| 1124638150 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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