Organization Active NPI

Gracious Growth Ohio LLC

  • Behavior Analyst
  • Cincinnati, OH
National Provider Identifier
1043018542
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GRACIOUS GROWTH OHIO LLC
Practice address
2722 Erie Ave Ste 219
Cincinnati, OH 45208-2154
Phone
(917) 771-4207
NPI assigned
Mar 3, 2025
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Avrohom Marmorstein
Title
Ceo
Phone
(917) 771-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2722 Erie Ave Ste 219
Cincinnati, OH 45208-2154

Mailing address

2722 Erie Ave Ste 219
Cincinnati, OH 45208-2154

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1043018542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 ERIE AVE STE 219",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ERIE AVE STE 219",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082154",
            "telephone_number": "917-771-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS GROWTH OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MARMORSTEIN",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-771-4207"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.