Individual
ACQUNIT D GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3663 W 64TH ST, LOS ANGELES, CA 90043-3707
(323) 762-6229
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 573-6822
(818) 457-4617
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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