Individual provider Active NPI

Grace Khaleghipour, MA, BCBA

  • Behavior Analyst
  • Prosper, TX
National Provider Identifier
1790286789
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4171 Issued in TX
Practice address
940 S Legacy Dr Ste 15
Prosper, TX 75078-2940
Phone
(214) 729-9110
NPI assigned
Feb 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4171 TX Primary
Behavior Analyst 103K00000X TX
Speech-Language Assistant 2355S0801X 38855 TX

Addresses

Primary practice location

940 S Legacy Dr Ste 15
Prosper, TX 75078-2940

Mailing address

940 S Legacy Dr Ste 15
Prosper, TX 75078-2940
Phone (469) 284-0801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4171TXMDBehavioral Analyst
38855TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1790286789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 15",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "469-284-0801",
            "fax_number": "903-630-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S LEGACY DR STE 15",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782940",
            "telephone_number": "214-729-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEGHIPOUR",
        "first_name": "GRACE",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-24",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4171",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.