Individual
MISS PRISCILLA GARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 ROAD 28, WALLACE, KS 67761-3030
(303) 406-8282
Mailing address
PO BOX 331, CHEYENNE WELLS, CO 80810-0331
(719) 342-1411
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968257669
UNITEDHEALTHCARE
CO
Enumeration date
02/16/2022
Last updated
02/16/2022
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