Individual
BERNICE LASHANN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 VIRGINIA AVE, MARTINSBURG, WV 25401-2632
(301) 212-0904
Mailing address
510 VIRGINIA AVE, MARTINSBURG, WV 25401-2632
(301) 212-0904
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/19/2024
Last updated
05/05/2026
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