MEDICARE: ALLISON GRACE LAIRD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		TX

General Provider Information

NPI Number	:	1730012048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON GRACE LAIRD

Provider Business Mailing Address
First Line	:	10435 FM 1276
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-1771
Country	:	US
Telephone Number	:	724-246-4237
Fax Number	:	724-246-4237

Provider Business Practice Location Address
First Line	:	2476 E FM 942
Second Line	:
City	:	LIVINGSTON
State	:	TX
Zip	:	77351-0272
Country	:	US
Telephone Number	:	724-246-4237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ ALLISON GRACE LAIRD ” Practice Location

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