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Kasaundra Elise Grayson, RBT

Behavior Technician in Savannah, GA. Individual provider (NPI-1).

NPI number1548095474
StatusActive
Last updated in NPPESSep 2, 2024

Details

NPI
1548095474
Entity type
Individual (NPI-1)
Name
Kasaundra Elise Grayson
Credential
RBT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2024
Certification date
Sep 2, 2024
Last updated
Sep 2, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

413 W Montgomery Xrd Bldg 600
Savannah, GA 31406-3364

Phone 615-560-6622

Mailing address

450 Al Henderson Blvd Unit 2109
Savannah, GA 31419-6059

Phone 912-777-8594

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Technician providers in Savannah, GA

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