Gracie Harrison

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-8197-650916 Issued in AL

Practice address

112 S Commerce St
Geneva, AL 36340-2211

Phone

(334) 618-3302

NPI assigned

Mar 27, 2024

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1508617853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S COMMERCE ST",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363402211",
            "telephone_number": "334-618-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S COMMERCE ST",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363402211",
            "telephone_number": "334-618-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "GRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-23-8197-650916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT-23-8197-650916",
            "identifier": "RBT-23-8197-650916",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@abaassociate.com",
            "affiliation": "N",
            "endpointDescription": "info@abaassociate.com",
            "address_1": "112 S Commerce St",
            "city": "Geneva",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363402211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geneva Medical Group, Inc.
• Geneva Rescue Squad
• Haley Gilley
• Gilstrap Drugs Inc
• Amy Harris
• Thomas Hayes Henig, RPH
• Shelley Marie Hunsucker, OTR
• John F. Simmons M.D. P.C
• Jamie L Johnson
• Sharon Jo Jones, L.C.S.W

• Behavior Technician in Geneva, AL
• Providers in Geneva, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.