Individual
DR. TEMORA GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA
Contact information
Practice address
9303 AVONDALE PARK, CONVERSE, TX 78109-0357
(917) 783-8065
(800) 383-9015
Mailing address
9303 AVONDALE PARK, CONVERSE, TX 78109-0357
(917) 783-8065
(800) 383-9015
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-15-19471
TX
103T00000X
Psychologist
37702
TX
103TC0700X
Clinical Psychologist
Primary
37702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405456102
—
TX
Enumeration date
01/19/2016
Last updated
01/09/2025
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