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NPI Code Detail

MEDICARE: GRACE HEBERT

MEDICARE: GRACE HEBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1346139219
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE HEBERT
Provider Business Mailing Address
First Line : 9553 19TH BAY ST
Second Line :
City : NORFOLK
State : VA
Zip : 23518-6229
Country : US
Telephone Number : 402-416-9892
Fax Number :
Provider Business Practice Location Address
First Line : 3509 GRANBY ST STE B1
Second Line :
City : NORFOLK
State : VA
Zip : 23504-1312
Country : US
Telephone Number : 757-423-8885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 03/13/2026

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Directions to “ GRACE HEBERT ” Practice Location

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