Individual
SHAWN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 FORTUNE DR STE 195, LEXINGTON, KY 40509-4261
(859) 899-9200
Mailing address
3233 MOUNT FORAKER DR, LEXINGTON, KY 40515-5340
(302) 362-3039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
07/22/2025
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