| Gracie Behavior Associates, Llc | |
|
203 Burkesville St Ste 101 Columbia KY 42728-1900 | |
| (270) 250-5070 | |
| (270) 380-1711 |
| Full Name | Gracie Behavior Associates, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 203 Burkesville St Ste 101, Columbia, Kentucky |
| Authorized Official Name and Position | Jennifer Michelle Cundiff (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 2702505070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracie Behavior Associates, Llc 312 Hurt St Unit C Columbia KY 42728-2311 Ph: (270) 250-5070 | Gracie Behavior Associates, Llc 203 Burkesville St Ste 101 Columbia KY 42728-1900 Ph: (270) 250-5070 |
| NPI Number | 1356004881 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356004881 | NPI | - | NPPES |
| 7100782180 | Medicaid | KY |
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