Healthcare Provider Details

I. General information

NPI: 1336060946
Provider Name (Legal Business Name): GRACE KARPICKE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 BEMISS RD STE Q
VALDOSTA GA
31602-1450
US

IV. Provider business mailing address

1726 POPLAR ST APT D3
VALDOSTA GA
31601-4387
US

V. Phone/Fax

Practice location:
  • Phone: 229-809-0893
  • Fax: 888-843-2534
Mailing address:
  • Phone: 229-809-0893
  • Fax: 888-843-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2831773
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: