Adalyn Snow Graham

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BACB787486 Issued in FL

Practice address

8777 San Jose Blvd Ste 801
Jacksonville, FL 32217-4291

Phone

(904) 374-6403

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Children's Institute

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1770033748
  NPD (past)
• Florida Childrens Institute

  • Developmentally Disabled Services Day Training Agency
  • Jacksonville, FL
  • NPI 1811380413
  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1386361889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 LEON RD APT 2321",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468674",
            "telephone_number": "727-290-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174291",
            "telephone_number": "904-374-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ADALYN",
        "middle_name": "SNOW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BACB787486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niesha Allegra Graddy
• Hollee Grady
• George Herbert Graf, DDS
• Neill Raoul Graff-Radford, M.D.
• Rolf Grage, MD
• Amanda Kristen Graham, ARNP
• Amanda Lee Graham, RN
• Charles Graham, MD
• David Eschol Graham, PA-C
• Denise Marie Graham, PHARM.D.

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.