Individual ProviderGrace M ButtacavoliBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514(813) 438-6796PECOS EnrollmentBased on the most recent information from CMS, provider Grace M Buttacavoli does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1578447207Provider TypeIndividualFull NameButtacavoli, Grace MGenderFemaleSole ProprietorNoEnumeration Date8/5/2025Last Updated8/5/2025Contact InformationPractice LocationPractice Address6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514Phone(813) 438-6796FaxUnlisted FaxMailing LocationMailing Address1202 Tech Blvd Ste 104, Tampa, FL 33619-7863Phone(813) 438-6796FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerGeorgia