Organization Active NPI

Grace Behavioral Interventions,LLC

  • Behavior Analyst
  • New Orleans, LA
National Provider Identifier
1407481815
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GRACE BEHAVIORAL INTERVENTIONS,LLC
Practice address
114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426
Phone
(985) 859-1312
NPI assigned
Mar 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Authorized official

Name
Ms. Ciji Dupre, BCBA, LBANPI 1437784121
Title
Owner
Phone
(985) 859-1312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426

Mailing address

114 Mark Twain Dr Apt 12
New Orleans, LA 70123-2426
Phone (985) 859-1312

National Provider Directory

National Provider Directory

Locations

9643A Jefferson Hwy
River Ridge, LA 70123
Phone (985) 856-3532

1631 Saint Mary St
Thibodaux, LA 70301
Phone (985) 859-1312

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1407481815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MARK TWAIN DR APT 12",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232426",
            "telephone_number": "985-859-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARK TWAIN DR APT 12",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232426",
            "telephone_number": "985-859-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL INTERVENTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "CIJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-859-1312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.