Individual provider · Type 1 NPI

Gracie Wallace

Behavior Technician · Bloomington, IN

NPI number 1477367134 Active

Practice location

451 S Park Ridge Rd # 101
Bloomington, IN 47401-8589

Call (812) 747-9384 Map

Fax (812) 413-2416

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1477367134

Gracie Wallace's National Provider Identifier is 1477367134, issued on Feb 4, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bloomington, IN. The record was last updated on Feb 4, 2025.