Individual
JHATANYA HALL-GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 AZURE BANKS AVE, NORTH LAS VEGAS, NV 89031-1753
(414) 502-4664
Mailing address
616 AZURE BANKS AVE, NORTH LAS VEGAS, NV 89031-1753
(414) 502-4664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
02/04/2020
Last updated
08/25/2021
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