MEDICARE: GRACE ESS RBT

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1700729456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE ESS RBT

Provider Business Mailing Address
First Line	:	3501 BLAKE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4888
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 BLAKE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4888
Country	:	US
Telephone Number	:	615-878-9474
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

Similar Medicare Providers

1700038650 — THERESA LOUISE MACFARLAND M.ED., BCBA
Practice Location Address:

3501 BLAKE ST
DENVER, CO
80205-4888

Practice Phone: 720-524-3975
Practice Fax: 720-491-1076

1821658121 — JESSICA MCALLISTER
Practice Location Address:

3501 BLAKE ST
DENVER, CO
80205-4888

Practice Phone: 720-524-3975
Practice Fax:

1760130496 — MATTHEW ROBERT SLANOVICH
Practice Location Address:

3501 BLAKE ST
DENVER, CO
80205-4888

Practice Phone: 720-360-7917
Practice Fax:

1831961697 — ANNA MANSFIELD
Practice Location Address:

3501 BLAKE ST
DENVER, CO
80205-4888

Practice Phone: 720-524-3975
Practice Fax:

1134903347 — JESSICA LISABETH WOOD NP
Practice Location Address:

2045 N FRANKLIN ST
DENVER, CO
80205-5437

Practice Phone: 303-338-4545
Practice Fax:

1194503532 — SUHAD SAADEH LCSW
Practice Location Address:

2130 STOUT ST
DENVER, CO
80205-2827

Practice Phone: 303-285-5200
Practice Fax:

Directions to “ GRACE ESS RBT” 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.