Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Charles

Individual provider Behavior Technician · NPI 1609511104

Grace Charles is a Behavior Technician in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2022.

Licensed in
GA
In the registry since
2022
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Practice location Address checks out

5072 Lavista Rd
Tucker, GA 30084-3500
Phone: (706) 842-5330
Fax: (706) 842-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-214011 (GA)

Record details

NPI number1609511104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 29, 2022
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing addressPo Box 2567, Augusta, GA 30903-2567

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