Individual
MAKAELA GRACE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N RIVER RD, MANCHESTER, NH 03106-1018
(210) 838-4618
Mailing address
2500 N RIVER RD, MANCHESTER, NH 03106-1018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161114
TX
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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