NPI 1003796269

Gracie Larson

Practitioner Behavior Technician Idaho Falls, ID

Practice location

Address: 700 S Woodruff Ave, Idaho Falls, ID 83401-5285
Phone: (888) 392-8642

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence 25-465717

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1003796269
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2025
Record last updated: 6 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.