Individual
LACEY RENA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 HARNEY ST STE 105, OMAHA, NE 68102-1838
(402) 252-8181
Mailing address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2110
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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