Grace ABA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACE ABA, LLC

Practice address

315 Ashford Cir
Lagrange, GA 30240-8895

Phone

(209) 430-1887

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Cassandra Bailey, BCBANPI 1508283532

Title

Owner & Ceo

Phone

(209) 430-1887

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Michelle Bailey, MA, BCBA

  • Behavior Analyst
  • Lagrange, GA
  • NPI 1508283532
  NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1225855133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 ASHFORD CIR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408895",
            "telephone_number": "209-430-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 ASHFORD CIR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302408895",
            "telephone_number": "209-430-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ABA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "209-430-1887",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Goodman, APRN
• Susan Goodson, DMD
• Kathleen Gordon
• Kenneth D Gordon, MD
• Thomas B Gore, M.D.
• Sarah Lovett Graham, RN
• Jerean Kay Grau, PHARMD
• Sarah Elizabeth Gravel, NP-C
• Green Acres Care Center LLC
• Jeanne Green, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.