Individual
ALEISHA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3424 MOTOR AVE, LOS ANGELES, CA 90034-4710
(424) 672-6700
Mailing address
3424 MOTOR AVE, LOS ANGELES, CA 90034-4710
(424) 672-6700
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1962726752
CA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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