Gracie Wallace
Gracie Wallace is a Behavior Technician in Bloomington, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
451 S Park Ridge Rd # 101Bloomington, IN 47401-8589
Phone: (812) 747-9384
Fax: (812) 413-2416
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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 | 1477367134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 4, 2025 |
| Last updated in NPPES | February 4, 2025 |
| Certification date | February 4, 2025 |
| Mailing address | 451 S Park Ridge Rd # 101, Bloomington, IN 47401-8589 |
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