Individual
NATALIE KANE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
1017 N STILSON RD APT 201, BOISE, ID 83703-5167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
ID
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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