Individual
KRISTL JORDAINE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LCSW
Contact information
Practice address
317 4TH AVE SE, CUT BANK, MT 59427-3607
(801) 268-4887
Mailing address
317 4TH AVE SE, CUT BANK, MT 59427-3607
(801) 641-4420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14176
—
103K00000X
Behavior Analyst
293034-2506
UT
1041C0700X
Clinical Social Worker
293034-3501
UT
1041C0700X
Clinical Social Worker
293034-3502
UT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-72689.
MT
Other
Enumeration date
12/18/2013
Last updated
04/06/2026
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