Grace Autism Services Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACE AUTISM SERVICES INC

Practice address

1481 Dean Forest Rd # Build100
Savannah, GA 31405-9342

Phone

(912) 434-4343

Fax

(912) 452-9600

NPI assigned

Feb 21, 2020

Organization subpart

No

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

Authorized official

Name

Amanda Owens

Title

Ceo / Owner

Phone

(912) 434-4343

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1154954725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND CAUSEWAY",
            "address_2": "SUITE 21 - 121",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314069515",
            "telephone_number": "912-434-4343",
            "fax_number": "912-452-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 DEAN FOREST RD # BUILD100",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314059342",
            "telephone_number": "912-434-4343",
            "fax_number": "912-452-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AUTISM SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "912-434-4343"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508255365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-14-9630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-23-65473",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699216648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD (BCBA)",
            "identifier": "1-19-34978",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124638150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dvora Gottlieb, MMS, CCC
• Jerald M Gottlieb, PH.D
• John Conrad Gouse, M.D.
• Deepak Goyal, MD
• William Michael Grabowski, PA-C
• Angela Grace, M.S. CCC-SLP
• Marissa Charlett Grace, LPC, NCC, PMH-C
• Marjau L Grace
• Graceful Lotus Counseling and Doula Services, LLC
• Jeshua Grach, MSN, RN, FNP-C

• Behavior Analyst in Savannah, GA
• Providers in Savannah, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.