Individual
MR. TIMOTHY E GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1200 CREAMERY LN, BELCAMP, MD 21017-1499
(443) 518-6559
Mailing address
1200 CREAMERY LN, BELCAMP, MD 21017-1499
(434) 518-6559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
370
MD
Other
Enumeration date
11/22/2017
Last updated
11/12/2022
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