Phoenix Gray

NPI #1003492745 in Pearland, Texas

Provider Information

NPI Number: 1003492745
Entity Type: Individual
Name: Phoenix Gray
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 23, 2021
Last Updated: Mar 23, 2021

Practice Location

Address: 6516 BROADWAY ST
Address 2: SUITE 112
City: Pearland
State: Texas
ZIP Code: 77581-7880
Phone: (303) 989-8169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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