Individual
MARISSA NICOLE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., RBT
Contact information
Practice address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
(610) 889-9726
Mailing address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
(610) 889-9726
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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