Wellformed AI

NPI 1609580968 · live from the CMS NPI Registry

Grace Elizabeth Adcock

Behavior Technician in Baton Rouge, LA. National Provider Identifier 1609580968, active.

NPI record

NPI1609580968 Type 1 · individual
StatusActive
Primary specialtyBehavior Technician 106S00000X
Practice location10732 S Mall Dr Apt 725, Baton Rouge, LA 70809
Practice phone225-229-4734
EnumeratedJanuary 11, 2023
Last updatedJanuary 23, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst103K00000X— (LA)
Behavior Technician primary106S00000X— (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.