Individual
GAYATRI RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
1650 BROADWAY, BETHLEHEM, PA 18015-3904
(610) 799-8222
Mailing address
1650 BROADWAY, BETHLEHEM, PA 18015-3904
(610) 799-8222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232654910
KIDSPEACE
PA
Enumeration date
06/23/2014
Last updated
06/23/2014
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