Gracie Behavior Associates, Llc

LBN: Gracie Behavior Associates, Llc
Gracie Behavior Associates, Llc is an health care organization with primary practice located at 203 Burkesville St Ste 101 , Columbia KY 42728-1900. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Gracie Behavior Associates, Llc can be contacted via phone (270) 250-5070, or through Cundiff, Jennifer Michelle via phone (270) 250-5070.

Contact Information

Primary practice address
203 Burkesville St Ste 101 Columbia KY 42728-1900
Phone: (270) 250-5070
Fax: (270) 380-1711
Website:
Map and Directions
Authorized official contact:
Name: Cundiff, Jennifer Michelle M.ED., B CBA, LBA
Phone: (270) 250-5070

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1356004881
LBN Legal business name Gracie Behavior Associates, Llc
DBA Doing business as
Authorized official Cundiff, Jennifer Michelle M.ED., B CBA, LBA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 16th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356004881 NPPES
Kentucky MEDICAID 7100782180

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