Gravatt, Lisa

Gravatt, Lisa is an individual health care provider with primary practice located at 22593 Three Notch Rd , California MD 20619-3054. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gravatt, Lisa can be contacted via phone (301) 862-2505.

Contact Information

Primary practice address
22593 Three Notch Rd California MD 20619-3054
Phone: (301) 862-2505
Fax: (301) 862-2548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-15619 Maryland

Profile Details

NPI number 1174929699
LBN Legal business name Gravatt, Lisa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2014
Last updated Oct 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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