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NPI Code Detail

MEDICARE: REBECCA GRADY

MEDICARE: REBECCA GRADY
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
1103K00000XBehavior Analyst4382NC
2106S00000XBehavior TechnicianRBT-23-295351NC
3103K00000XBehavior Analyst1-26-89302NC

General Provider Information

NPI Number : 1427822899
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA GRADY
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 700B CROMWELL DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5852
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2023
Last Update Date : 06/03/2026

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Directions to “ REBECCA GRADY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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