Grace Island Cook
Grace Island Cook is a Behavior Technician in Waynesville, Missouri. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
21485 Risky Rd Apt 1Waynesville, MO 65583-2529
Phone: (918) 907-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1508532029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 17, 2021 |
| Last updated in NPPES | August 17, 2021 |
| Certification date | August 17, 2021 |
| Mailing address | 21485 Risky Rd Apt 1, Waynesville, MO 65583-2529 |
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