MEDICARE: GRACE AUTISM CENTER

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1508602459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE AUTISM CENTER

Provider Business Mailing Address
First Line	:	6915 E MESQUITE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-4112
Country	:	US
Telephone Number	:	702-927-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W SAHARA AVE STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4367
Country	:	US
Telephone Number	:	702-927-9511
Fax Number	:

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	MRS. JOCELYN GUERRA
Credential	:
Telephone Number	:	702-927-9511

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

Similar Medicare Providers

1669245239 — INDIVIDUALIZED MINDFUL SOLUTIONS LLC
Practice Location Address:

2500 W SAHARA AVE STE 107
LAS VEGAS, NV
89102-4367

Practice Phone: 702-291-8798
Practice Fax:

1184962698 — LHCG XXXIX, LLC
Practice Location Address:

2500 W SAHARA AVE , SUITE 107
LAS VEGAS, NV
89102-4367

Practice Phone: 702-435-5030
Practice Fax: 702-435-5099

1790326056 — LUXE DENTAL LLC
Practice Location Address:

2500 W SAHARA AVE STE 202
LAS VEGAS, NV
89102-4367

Practice Phone: 702-633-7500
Practice Fax:

1689336729 — ASHLY HARRIS
Practice Location Address:

4367 FABERGE AVE
LAS VEGAS, NV
89115-2429

Practice Phone: 412-727-4812
Practice Fax:

1518624964 — MELISSA MARIE LOPEZ-SULLIVAN CLC, DOULA
Practice Location Address:

4367 CALLE AMARILLA
LAS CRUCES, NM
88011-1823

Practice Phone: 575-520-0795
Practice Fax:

1942961032 — LAS CRUCES DOULA, LLC
Practice Location Address:

4367 CALLE AMARILLA
LAS CRUCES, NM
88011-1823

Practice Phone: 575-520-0795
Practice Fax:

Directions to “GRACE AUTISM CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.