| Graceful Behavior Solutions | |
|
406 Jackson Cir Lake Park GA 31636-4928 | |
| (229) 630-2086 | |
| Not Available |
| Full Name | Graceful Behavior Solutions |
|---|---|
| Speciality | Behavior Analyst |
| Location | 406 Jackson Cir, Lake Park, Georgia |
| Authorized Official Name and Position | Jesica Peterson (OWNER) |
| Authorized Official Contact | 2296302086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Behavior Solutions 113 S. Perry Street, Suite 206 #9861 Lawrenceville GA 30046 Ph: (229) 630-2086 | Graceful Behavior Solutions 406 Jackson Cir Lake Park GA 31636-4928 Ph: (229) 630-2086 |
| NPI Number | 1831968965 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831968965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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