| Gracie Behavior Associates, Llc | |
|
220 Office Park Dr Columbia KY 42728-1381 | |
| (270) 250-5070 | |
| (270) 380-1711 |
| Full Name | Gracie Behavior Associates, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 Office Park Dr, Columbia, Kentucky |
| Authorized Official Name and Position | Jennifer Michelle Cundiff (OWNER/BCBA) |
| Authorized Official Contact | 8592300559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracie Behavior Associates, Llc 203 Burkesville St Ste 101 Columbia KY 42728-1900 Ph: (270) 250-5070 | Gracie Behavior Associates, Llc 220 Office Park Dr Columbia KY 42728-1381 Ph: (270) 250-5070 |
| NPI Number | 1639992977 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639992977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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