Individual
KESHIA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 306-3483
(541) 639-8909
Mailing address
19800 VILLAGE OFFICE CT STE 104, BEND, OR 97702-1813
(541) 306-3483
(541) 639-8909
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10213710
OR
Other
Enumeration date
03/07/2017
Last updated
05/13/2021
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