Most Relevant Information
Provider Data
| NPI Number: | 1003679481 |
| Provider Name: | GRACE RUSDAL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2024 |
| Last Updated: | 01/30/2024 |
Provider Practice Location
2141 PALOMAR AIRPORT RD STE 350
CARLSBAD
CA
920111451
Practice Location Phone/Fax
| Phone: | 1760438007 |
| Fax: |
Provider Mailing Location
2141 PALOMAR AIRPORT RD STE 350
CARLSBAD
CA
920111451
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |