Individual
GABRIELLE MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 COTTONTAIL LN UNIT B, CODY, WY 82414-8339
(917) 620-7799
Mailing address
11 COTTONTAIL LN UNIT B, CODY, WY 82414-8339
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/17/2019
Last updated
07/16/2019
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