Individual
MEGAN DOROTHY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10036 LAKE SHORE DR, NAMPA, ID 83686-9204
(208) 880-5852
Mailing address
10036 LAKE SHORE DR, NAMPA, ID 83686-9204
(208) 880-5852
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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