Individual
GRACE KHALEGHIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
940 S LEGACY DR STE 15, PROSPER, TX 75078-2940
(214) 729-9110
Mailing address
940 S LEGACY DR STE 15, PROSPER, TX 75078-2940
(469) 284-0801
(903) 630-6172
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4171
TX
103K00000X
Behavior Analyst
—
TX
2355S0801X
Speech-Language Assistant
38855
TX
Other
Enumeration date
02/24/2018
Last updated
11/18/2025
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