MEDICARE: CATHERINE GRAYSON BCBA

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
1	103K00000X	Behavior Analyst	1-25-86358	GA

General Provider Information

NPI Number	:	1992381776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GRAYSON BCBA

Provider Business Mailing Address
First Line	:	2615 SANDY CREEK CIR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-3008
Country	:	US
Telephone Number	:	770-925-5551
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 SANDY CREEK CIR
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-3008
Country	:	US
Telephone Number	:	770-925-5551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	12/09/2025

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Directions to “ CATHERINE GRAYSON BCBA” Practice Location

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