IndividualActive
Gracie Blake
NPI 1083405757 · Behavior Technician · Van Buren, AR
Gracie Blake is a Behavior Technician provider in Van Buren, AR (NPI 1083405757).
Provider details
- NPI number
- 1083405757
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1109 Fayetteville Rd
Van Buren, AR 72956-3363
Phone: (479) 474-6444
Street-level locationGet directions
Mailing address
12822 Highway 217
Charleston, AR 72933-8005
Registry dates
- Enumerated
- 2025-05-13
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Gracie Blake's NPI number?
- Gracie Blake's National Provider Identifier (NPI) is 1083405757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gracie Blake's specialty?
- Gracie Blake is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Gracie Blake located?
- Gracie Blake's practice location on file with NPPES is 1109 Fayetteville Rd, Van Buren, AR 72956-3363.
- What is Gracie Blake's phone number?
- The practice phone number listed in the NPPES registry for Gracie Blake is (479) 474-6444.
- Is Gracie Blake's NPI active?
- Yes — Gracie Blake's NPI (1083405757) is active in the NPPES registry as of the last update on 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.