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Individual

MRS. BRANDY KUEREINE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., B.C.B.A., L.B

Contact information

Practice address
5895 MORNINGBIRD LN, COLUMBIA, MD 21045-3520
(301) 802-1055
Mailing address
6801 OAK HALL LN UNIT 7053, COLUMBIA, MD 21045-7611
(301) 801-1376

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1-07-3491
VA
103K00000X
Behavior Analyst
Primary
LBA001
MD

Other

Enumeration date
08/11/2008
Last updated
06/02/2024
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