Grace ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000785 Issued in VA

Legal business name

GRACE ABA LLC

Practice address

372 Belgrave Rd
Newport News, VA 23602-6403

Phone

(719) 459-8374

Fax

(757) 282-2597

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Lynette Jacobs, BCBANPI 1417319500

Title

Bcba

Phone

(719) 459-8374

Specialties & licenses 1

Addresses

Practitioners 2

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

• Lynette Jacobs, BCBA

  • Behavior Analyst
  • Goose Creek, SC
  • NPI 1417319500
  NPD Authorized official
• Loraine Espana

  • Behavior Analyst
  • Yorktown, VA
  • NPI 1912430299
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1356833974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 BELGRAVE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026403",
            "telephone_number": "719-459-8374",
            "fax_number": "757-282-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BELGRAVE RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026403",
            "telephone_number": "719-459-8374",
            "fax_number": "757-282-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Preamble Ln Apt H",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236922608",
            "country_code": "US",
            "telephone_number": "719-459-8374",
            "fax_number": "757-282-2597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "719-459-8374",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Noelle Goudreau, RBT
• Sarah Rotella Goujon, ACNP
• Aaron Glenn Gould, D.P.M.
• Jacqueline Gould
• Amanda Lyn Grab, FNP-C
• Grace and Growth Mental Wellness
• Grace Medical Transportation LLC
• Grace Youth Mentoring and Community Outreach Inc.
• Rebecca E. Grace, PT, DPT
• Trudyann Grace, LPC

• Behavior Analyst in Newport News, VA
• Providers in Newport News, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.