Healthcare Provider Details

I. General information

NPI: 1104731397
Provider Name (Legal Business Name): GRACEFUL STEPS ABA THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 AUDACE AVE APT 412
BOYNTON BEACH FL
33426-3493
US

IV. Provider business mailing address

1125 AUDACE AVE APT 412
BOYNTON BEACH FL
33426-3493
US

V. Phone/Fax

Practice location:
  • Phone: 561-718-9744
  • Fax:
Mailing address:
  • Phone: 561-718-9744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA LLOYD
Title or Position: OWNER
Credential: MS, BCBA, LBA
Phone: 561-718-9744