Provider Demographics
NPI:1144191024
Name:GRAZIOSI, ZACHARY PAUL (RBT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:PAUL
Last Name:GRAZIOSI
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 CATHY ANN CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-3927
Mailing Address - Country:US
Mailing Address - Phone:470-531-0430
Mailing Address - Fax:
Practice Address - Street 1:1619 COLLINS RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-4309
Practice Address - Country:US
Practice Address - Phone:470-531-0430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARBT-24-329494106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician