Organization
ST. BONAVENTURE ACADEMY
Active
Other names
St. Bonaventure Academy
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GRACE (CEO/FOUNDER)
(216) 536-2633
Entity
Organization
Contact information
Practice address
1 S MAIN ST, CHAGRIN FALLS, OH 44022-3225
(216) 536-2633
Mailing address
1 S MAIN ST, CHAGRIN FALLS, OH 44022-3225
(216) 536-2633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
146N00000X
Basic Emergency Medical Technician
—
—
163W00000X
Registered Nurse
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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