Provider Demographics
NPI:1285444240
Name:ROOTED IN GRACE
Entity type:Organization
Organization Name:ROOTED IN GRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS BCBA LBA
Authorized Official - Phone:323-447-0453
Mailing Address - Street 1:20623 CATALAN FIELD CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2880
Mailing Address - Country:US
Mailing Address - Phone:323-447-0453
Mailing Address - Fax:
Practice Address - Street 1:19919 WILD HORSE HOLLOW LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2774
Practice Address - Country:US
Practice Address - Phone:512-293-4935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty