Gracie Edge

NPI #1598508251 in Crestview, Florida

Provider Information

NPI Number: 1598508251
Entity Type: Individual
Name: Gracie Edge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 301 E HICKORY AVE
City: Crestview
State: Florida
ZIP Code: 32536-2737
Phone: (850) 758-4716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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