Individual
MYISHA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 N RANCHO DR, LAS VEGAS, NV 89130-3180
(702) 869-4300
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 354-5019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI5397
NV
103K00000X
Behavior Analyst
—
—
225400000X
Rehabilitation Practitioner
—
NV
Other
Enumeration date
08/18/2011
Last updated
05/13/2024
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