Provider Demographics
NPI:1114523677
Name:GRAZIAPLENE, GRACE ANN
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:ANN
Last Name:GRAZIAPLENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14510 DUANE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34610-1038
Mailing Address - Country:US
Mailing Address - Phone:727-207-8354
Mailing Address - Fax:
Practice Address - Street 1:14510 DUANE CT
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34610-1038
Practice Address - Country:US
Practice Address - Phone:727-207-8354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician