Grace Southern, RBT

NPI #1528771946 in Sedalia, Missouri

Provider Information

NPI Number: 1528771946
Entity Type: Individual
Name: Grace Southern, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 30, 2022
Last Updated: Dec 30, 2022

Practice Location

Address: 1500 EWING DR
City: Sedalia
State: Missouri
ZIP Code: 65301-2396
Phone: (660) 826-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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