Wallace-Graham, Deborah

Wallace-Graham, Deborah is an individual health care provider with primary practice located at 175 Market Place Dr Ste A , Louisville KY 40229-4471. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wallace-Graham, Deborah can be contacted via phone (502) 251-7002.

Contact Information

Primary practice address
175 Market Place Dr Ste A Louisville KY 40229-4471
Phone: (502) 251-7002
Fax: (317) 520-8200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-31437 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-31437
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 299590 Kentucky

Profile Details

NPI number 1871944702
LBN Legal business name Wallace-Graham, Deborah
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Jun 9th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871944702 NPPES
Other 1-18-31437 BCBA CERTIFICATE

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