MEDICARE: SOPHIA THERESA GRADO

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	106E00000X	Assistant Behavior Analyst		TX

General Provider Information

NPI Number	:	1518898543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA THERESA GRADO

Provider Business Mailing Address
First Line	:	9919 KLEPPEL RD
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-3201
Country	:	US
Telephone Number	:	832-953-8712
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 KINSEY DR APT 606
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75703-1018
Country	:	US
Telephone Number	:	832-953-8712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

Similar Medicare Providers

1497959134 — AUDIOLOGY ASSOCIATES OF EAST TEXAS, INC
Practice Location Address:

1018 PRUITT PL
TYLER, TX
75703-1132

Practice Phone: 903-592-8374
Practice Fax: 903-592-5293

1104650282 — HEARINGLIFE TEXAS, LLC
Practice Location Address:

1018 PRUITT PL
TYLER, TX
75703-1132

Practice Phone: 903-592-5293
Practice Fax:

1568786580 — HEALTHLINE MEDICAL EQUIPMENT LLC
Practice Location Address:

16629 FM 2493
TYLER, TX
75703-7903

Practice Phone: 903-526-1070
Practice Fax: 903-526-1071

1679404966 — JAMES DAVID HUBBARD AGACNP-BC
Practice Location Address:

613 TOP HILL DR
TYLER, TX
75703-3575

Practice Phone: 903-571-4468
Practice Fax: 903-571-4468

1164144168 — DREX HOME CARE LLC
Practice Location Address:

3800 PALUXY DR STE 501
TYLER, TX
75703-1666

Practice Phone: 254-522-7326
Practice Fax:

1427809490 — TYLER CAREGIVING COMPANY LLC
Practice Location Address:

3800 PALUXY DR STE 501
TYLER, TX
75703-1666

Practice Phone: 903-403-2273
Practice Fax:

Directions to “ SOPHIA THERESA GRADO ” 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.