Organization Active NPI

Gracious Growth Arizona LLC

  • Behavior Analyst
  • Phoenix, AZ
National Provider Identifier
1861281479
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GRACIOUS GROWTH ARIZONA LLC
Practice address
2942 N 24TH St Ste 115
Phoenix, AZ 85016-7849
Phone
(917) 771-4207
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Avrohom Marmorstein
Title
Ceo
Phone
(917) 771-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2942 N 24TH St Ste 115
Phoenix, AZ 85016-7849

Mailing address

2942 N 24TH St Ste 115
Phoenix, AZ 85016-7849

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1861281479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "917-771-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS GROWTH ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "MARMORSTEIN",
        "authorized_official_first_name": "AVROHOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-771-4207"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.