| Graceful Connections, Llc | |
|
2055 Carlyle Dr Las Cruces NM 88005-1425 | |
| (575) 652-3155 | |
| Not Available |
| Full Name | Graceful Connections, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2055 Carlyle Dr, Las Cruces, New Mexico |
| Authorized Official Name and Position | Monica Eason (OWNER) |
| Authorized Official Contact | 5756523155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Connections, Llc 2055 Carlyle Dr Las Cruces NM 88005-1425 Ph: (575) 652-3155 | Graceful Connections, Llc 2055 Carlyle Dr Las Cruces NM 88005-1425 Ph: (575) 652-3155 |
| NPI Number | 1780380212 |
|---|---|
| Provider Enumeration Date | 02/06/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380212 | NPI | - | NPPES |
| 74773062 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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