Graceful Behavior Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GRACEFUL BEHAVIOR THERAPY LLC

Practice address

1800 Forest Hill Blvd Ste A2
West Palm Beach, FL 33406-6054

Phone

(561) 328-6196

NPI assigned

Feb 27, 2021

Last updated

Feb 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arachelis Dominguez

Title

President

Phone

(561) 328-6196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1699369892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FOREST HILL BLVD STE A2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066054",
            "telephone_number": "561-328-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FOREST HILL BLVD STE A2",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066054",
            "telephone_number": "561-328-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "ARACHELIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-328-6196"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.