Catherin Teiarra Graham

NPI #1962115766 in O Fallon, Illinois

Provider Information

NPI Number: 1962115766
Entity Type: Individual
Name: Catherin Teiarra Graham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 27, 2022
Last Updated: Dec 27, 2022

Practice Location

Address: 1716 CORPORATE XING STE 3
City: O Fallon
State: Illinois
ZIP Code: 62269-3734
Phone: (618) 226-4687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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