Most Relevant Information
Provider Data
| NPI Number: | 1003633207 |
| Provider Name: | CARSON GRACE GRIMES |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2024 |
| Last Updated: | 09/20/2024 |
Provider Practice Location
1556 E FM 552
ROCKWALL
TX
750876491
Practice Location Phone/Fax
| Phone: | 2149840757 |
| Fax: |
Provider Mailing Location
5706 ROWLETT RD
ROWLETT
TX
750893463
Provider Mailing Phone/Fax
| Phone: | 8557827822 |
| Fax: |