Gray J Cisco

NPI #1205191434 in Mount Vernon, New York

Provider Information

NPI Number: 1205191434
Entity Type: Individual
Name: Gray J Cisco
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 13, 2012
Last Updated: Jul 13, 2012

Practice Location

Address: 40 E SIDNEY AVE APT 10A
City: Mount Vernon
State: New York
ZIP Code: 10550-1417
Phone: (718) 313-8848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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