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Ajanae Gray

Behavior Technician in Lakewood, WA. Individual provider (NPI-1).

NPI number1003563776
StatusActive
Last updated in NPPESMar 3, 2022

Details

NPI
1003563776
Entity type
Individual (NPI-1)
Name
Ajanae Gray
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2022
Certification date
Mar 3, 2022
Last updated
Mar 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10015 Lakewood Dr Sw
Lakewood, WA 98499-3838

Phone 855-223-7123 · Fax 619-374-7134

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Phone 855-223-7123 · Fax 619-374-7134

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