Provider Demographics
NPI:1659936276
Name:GRACICECI INC
Entity Type:Organization
Organization Name:GRACICECI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION PROVIDER/ABA
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-542-0516
Mailing Address - Street 1:16520 HIGHLAND AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3540
Mailing Address - Country:US
Mailing Address - Phone:347-542-0516
Mailing Address - Fax:
Practice Address - Street 1:16520 HIGHLAND AVE APT 202
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3540
Practice Address - Country:US
Practice Address - Phone:347-542-0516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty