Grace Centers of Autism and Developmental Disorders

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACE CENTERS OF AUTISM AND DEVELOPMENTAL DISORDERS

Practice address

20490 Harper Ave Ste 102
Harper Woods, MI 48225-1645

Phone

(734) 334-0489

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Yolanda Edwards

Title

Program Director

Phone

(734) 334-0489

Specialties & licenses 1

Addresses

Other names 1

• G-CADD Doing business as

Locations

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1689146607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20490 HARPER AVE STE 102",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20490 HARPER AVE STE 102",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251645",
            "telephone_number": "734-334-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CENTERS OF AUTISM AND DEVELOPMENTAL DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "734-334-0489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G-CADD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.