Gracious Growth Colorado LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACIOUS GROWTH COLORADO LLC

Practice address

4845 Pearl East Cir
Boulder, CO 80301-6110

Phone

(917) 771-4207

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Avi Marmorstein

Title

Ceo

Phone

(917) 771-4207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1457174302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 PEARL EAST CIR STE 118",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 PEARL EAST CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803016110",
            "telephone_number": "917-771-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS GROWTH COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "MARMORSTEIN",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-771-4207"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Anne Gower
• Jordan Gozdzialski, M.D.
• GR8 Alchemy
• Gwendolyn Gregory Grace, M.D.
• Graceful Movement Center for Feldenkrais and Physical Therapy
• Brian P Gradisek, D.P.M.
• Colleen Mary Grady Yuskewich, OTR
• James R Grady, M.D.
• Leslie Grady, P.A.
• Julie Graff, LCSW

• Behavior Analyst in Boulder, CO
• Providers in Boulder, CO by specialty
• Behavior Analyst in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.