Gracianna Lockhart
Individual provider Active NPI Behavior Analyst · Walker, MI
NPI 1124741590 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1124741590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 7401003461 (MI)
- Practice address
- 318 River Ridge Dr NW
Walker, MI 49544-1654 - Phone
- (855) 772-8847
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401003461 | MI | Yes |
Addresses
Primary practice location
318 River Ridge Dr NW
Walker, MI 49544-1654
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (248) 436-4400
Other providers in Walker, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.