Organization
MARSHALL DEVOLOPMENTAL THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELICA N GRAY BCBA (PRINCIPLE)
(317) 388-8131
Entity
Organization
Contact information
Practice address
308 ESTES MILL RD, WALNUT GROVE, MS 39189-5043
(317) 388-8131
Mailing address
8650 COMMERCE PARK PL STE A1, INDIANAPOLIS, IN 46268-3174
(317) 388-8131
(317) 536-3585
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
12/09/2019
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