Individual
GRACIE FILLINGAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9480 THREE RIVERS RD, GULFPORT, MS 39503-4248
(251) 648-4346
Mailing address
9480 THREE RIVERS RD, GULFPORT, MS 39503-4248
(251) 648-4346
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2022
Last updated
07/03/2026
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