Gracie Nicole Corbin
Behavior Technician in Durant, OK. Individual provider (NPI-1).
NPI number1962385013
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1962385013
- Entity type
- Individual (NPI-1)
- Name
- Gracie Nicole Corbin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2025
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | BCAB1379244 | OK | Yes |
Practice location
107 N 3rd AveDurant, OK 74701-4700
Phone 903-818-2446
Mailing address
2371 Big Valley RdMead, OK 73449-9744
Phone 580-775-7701
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