Grace Autism Center

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACE AUTISM CENTER

Doing business as

Grace Autism Center

Practice address

2500 W Sahara Ave Ste 202
Las Vegas, NV 89102-4367

Phone

(702) 927-9511

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Jocelyn Guerra

Title

Office Administrator

Phone

(702) 927-9511

Specialties & licenses 1

Addresses

Other names 1

• Grace Autism Center Doing business as

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1508602459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 E MESQUITE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891104112",
            "telephone_number": "702-927-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SAHARA AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024367",
            "telephone_number": "702-927-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-927-9511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Autism Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.