MEDICARE: GRACE UDAH

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	:	1710845045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE UDAH

Provider Business Mailing Address
First Line	:	7108 S KANNER HWY
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-7462
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 MACKENZIE WAY STE 100
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-5338
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1194798413 — AMY K SHANNON DO
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 724-698-7334
Practice Fax:

1629111893 — VITAS HEALTHCARE CORPORATION ATLANTIC
Practice Location Address:

2009 MACKENZIE WAY , SUITE 110
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 412-799-2101
Practice Fax: 412-799-2110

1366629636 — DR. ELIZABETH BLOCHER MCCABE LCSW
Practice Location Address:

2009 MACKENZIE WAY , SUITE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 888-364-5977
Practice Fax: 724-720-9406

1750782348 — ALISON PANICCIA LPC, MT-BC
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 866-237-6125
Practice Fax:

1649705674 — CRANBERRY CONFIDENTIAL COUNSELING AND COACHING SERVICES
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 724-720-9320
Practice Fax:

1316450315 — MENTAL FITNESS, LLC
Practice Location Address:

2009 MACKENZIE WAY STE 100
CRANBERRY TOWNSHIP, PA
16066-5338

Practice Phone: 412-334-9790
Practice Fax:

Directions to “ GRACE UDAH ” 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.