Carson Grace Grimes

NPI #1003633207 in Rockwall, Texas

Provider Information

NPI Number: 1003633207
Entity Type: Individual
Name: Carson Grace Grimes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 20, 2024
Last Updated: Sep 20, 2024

Practice Location

Address: 1556 E FM 552
City: Rockwall
State: Texas
ZIP Code: 75087-6491
Phone: (214) 984-0757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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