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Individual

ISIS GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
8200 W. 185TH ST., SUITE A, TINLEY PARK, IL 60487
(708) 580-0440
Mailing address
8201 CASS AVE, DARIEN, IL 60561
(630) 590-5571

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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