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Organization
GREY MATTERS BEHAVIOR SERVICES
Active
Organization
GREY MATTERS BEHAVIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LEVEILLE BCBA (OWNER)
(248) 798-4402
Entity
Organization
Contact information
Practice address
401 ANDREW JACKSON TRL, GULF BREEZE, FL 32561-4414
(248) 798-4402
Mailing address
401 ANDREW JACKSON TRL, GULF BREEZE, FL 32561-4414
(248) 798-4402
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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