Grafton School, Inc.
Organization Active NPI Behavior Analyst · Charles Town, WV
NPI 1043674005 · NPPES record last updated May 18, 2016
Key facts
- NPI
- 1043674005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 425 (WV)
- Legal business name
- GRAFTON SCHOOL, INC.
- Practice address
- 46 Trifecta PL
Suite 105
Charles Town, WV 25414-5652 - Phone
- (304) 725-4536
- NPI assigned
- Apr 6, 2016
- Organization subpart
- No
Authorized official
- Name
- Vanessa Lane
- Title
- Director, Cycle MNGT./Accounts Rece
- Phone
- (540) 542-0200
Corporate family (same tax ID) 8
Practitioners 10
-
Sarah Beth Hafer, BCBA
-
Katie Buttillo, MA
-
Teri Ann Kimball, M.A.
National Provider Directory
- Tax ID family
- Grafton Inc
Locations
46 Trifecta Pl
Ste 105
Charles Town, WV 25414
Phone (304) 725-4536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | 425 | WV | Yes |
Addresses
Primary practice location
46 Trifecta PL
Suite 105
Charles Town, WV 25414-5652
Mailing address
PO Box 2500
Winchester, VA 22604-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810025462 | Medicaid | WV |
Other names
- Grafton Integrated Health Network
Other providers in Charles Town, WV
- Amanda Gill
- Yvette Ferrales Gomez
- Doris Adofoa Gone
- Felix Luis Gonzalez-Carrasquillo
- Diana Margaret Gorham
- Christina Elaine Graham
- Jazmin Green
- James Gregory
- Rosemary Griffin
- Darlene L Grimes
All providers in Charles Town, WV · Behavior Analyst in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.