Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gracie Renee Blake

Individual provider Behavior Technician · NPI 1083405757

Gracie Renee Blake is a Behavior Technician in Van Buren, Arkansas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1109 Fayetteville Rd
Van Buren, AR 72956-3363
Phone: (479) 474-6444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1083405757
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address12822 Highway 217, Charleston, AR 72933-8005

Other providers in Van Buren