Gracie Larson
NPI #1003796269 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1003796269
- Entity Type
- Individual
- Name
- Gracie Larson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 6, 2025
- Last Updated
- Sep 6, 2025
Practice Location
- Address
- 700 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5285
- Phone
- (888) 392-8642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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