Maryeva Grace
Maryeva Grace is a Behavior Technician in Angola, Indiana. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
100 Growth Pkwy Ste F-GAngola, IN 46703-9343
Phone: (260) 459-6040
Fax: (260) 459-6010
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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 | 1114644176 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 20, 2022 |
| Last updated in NPPES | October 20, 2022 |
| Certification date | October 20, 2022 |
| Mailing address | 5601 Coventry Ln, Fort Wayne, IN 46804-7145 |
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100 Growth Pkwy Ste F&g, Angola, IN 46703-9343 · (260) 459-6040