Harrison, Gracie

Harrison, Gracie is an individual health care provider with primary practice located at 112 S Commerce St , Geneva AL 36340-2211. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Harrison, Gracie can be contacted via phone (334) 618-3302.

Contact Information

Primary practice address
112 S Commerce St Geneva AL 36340-2211
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-8197-650916 Alabama

Profile Details

NPI number 1508617853
LBN Legal business name Harrison, Gracie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2024
Last updated Mar 27th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508617853 NPPES
Alabama Other RBT-23-8197-650916 RBT-23-8197-650916

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