Dacia Lyn Grady

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

821 SE Ocean Blvd
Stuart, FL 34994-2456

Phone

(772) 872-6940

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: dacia@cbgaba.com

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1609506286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 WOODS ISLAND CIR APT 103",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942456",
            "telephone_number": "772-872-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 SE Ocean Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942456",
            "country_code": "US",
            "telephone_number": "772-872-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRADY",
        "first_name": "DACIA",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dacia@cbgaba.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "821 SE Ocean Blvd",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dacia@cbgaba.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "821 SE Ocean Blvd",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dacia@cbgaba.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "821 SE Ocean Blvd",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349942456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miranda Gowers
• Cesar Alexander Goza Rivera
• Christopher George Gozdz, PT
• Jillian Paige Grace, APRN
• Yesenia Gracida
• Riane Grady
• Lyndsey Hope Graff, RMHCI
• Ananeika Graham-Pankey
• Adrienne Elizabeth Graham
• Bryan Leslie Graham, MPT

• Behavior Technician in Stuart, FL
• Providers in Stuart, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.