Organization
TETACHILD BEHAVIOR CONSULTANTS, LLC
Active
Other names
Temora Gray, Provider
Organization subpart
No
Provider details
NPI number
Authorized official
TEMORA P GRAY PHD, BCBA (OWNER)
(210) 903-0130
Entity
Organization
Contact information
Practice address
1001 PAT BOOKER RD STE 207, UNIVERSAL CITY, TX 78148-4148
(210) 903-0130
(800) 383-9015
Mailing address
9303 AVONDALE PARK, CONVERSE, TX 78109-0357
(917) 783-8065
(800) 383-9015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437699987
CLINICAL PSYCHOLOGY
TX
Enumeration date
01/08/2025
Last updated
01/14/2025
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