Individual
CARLA M GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
4900 W ACORN RD, TISHOMINGO, OK 73460-4801
(580) 220-1360
Mailing address
4900 W ACORN RD, TISHOMINGO, OK 73460-4801
(580) 220-1360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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