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NPI Code Detail

MEDICARE: ABIGAIL GRACE BRICE

MEDICARE: ABIGAIL GRACE BRICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1477403970
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL GRACE BRICE
Provider Business Mailing Address
First Line : 1845 SATELLITE BLVD STE 800
Second Line :
City : DULUTH
State : GA
Zip : 30097-6286
Country : US
Telephone Number : 404-295-7941
Fax Number :
Provider Business Practice Location Address
First Line : 1845 SATELLITE BLVD STE 800
Second Line :
City : DULUTH
State : GA
Zip : 30097-6286
Country : US
Telephone Number : 404-295-7941
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ABIGAIL GRACE BRICE ” Practice Location

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