Individual
GEORGIA GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 MUSTANG TRL, VIRGINIA BEACH, VA 23452-7517
(757) 731-5500
Mailing address
253 MANNINGS LN, VIRGINIA BEACH, VA 23462-4361
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
VA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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