Individual
KINLEY G RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Mailing address
4901 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5293
(501) 791-3331
(501) 791-0294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-230489
AR
Other
Enumeration date
10/04/2022
Last updated
06/16/2023
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