IndividualActive
Gracie Fillingame
NPI 1023755378 · Assistant Behavior Analyst · Gulfport, MS
Provider details
- NPI number
- 1023755378
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
9480 Three Rivers Rd
Gulfport, MS 39503-4248
Phone: (251) 648-4346
Approximate (ZIP-level) locationGet directions
Mailing address
9480 Three Rivers Rd
Gulfport, MS 39503-4248
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.