Individual
DEASIA ALEXUS BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 MARTIN LUTHER KING JR CT, LAGRANGE, GA 30241-3657
(706) 416-0694
Mailing address
117 MARTIN LUTHER KING JR CT, LAGRANGE, GA 30241-3657
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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