GRACIE WALLACE
NPI 1477367134
Behavior Technician in Bloomington, IN
About Gracie Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACIE WALLACE (NPI 1477367134) is an individual behavior technician in Bloomington, Indiana and active in the NPI registry since February 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IN 47401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gracie Wallace's NPI number?
The NPI number for Gracie Wallace is 1477367134. It was assigned to this individual provider in the NPPES registry on February 4, 2025.
Where is Gracie Wallace located?
Gracie Wallace practices at 451 S Park Ridge Rd # 101, Bloomington, IN 47401. The listed phone number is (812) 747-9384.
What is Gracie Wallace's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Gracie Wallace was last updated on February 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.