Organization
GRACEFUL CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA EASON BCBA (OWNER)
(575) 652-3155
Entity
Organization
Contact information
Practice address
2055 CARLYLE DR, LAS CRUCES, NM 88005-1425
(575) 652-3155
Mailing address
2055 CARLYLE DR, LAS CRUCES, NM 88005-1425
(575) 652-3155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74773062
—
NM
Enumeration date
02/06/2023
Last updated
12/19/2024
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