Roslyn Taylor-Gray
Behavior Technician in Saint Louis, MO. Individual provider (NPI-1).
NPI number1083239644
StatusActive
Last updated in NPPESJun 15, 2020
Details
- NPI
- 1083239644
- Entity type
- Individual (NPI-1)
- Name
- Miss Roslyn Taylor-Gray
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 15, 2020
- Last updated
- Jun 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3863 Cleveland AveSaint Louis, MO 63110-4009
Phone 314-664-3927 · Fax 314-664-0556
Mailing address
3863 Cleveland AveSaint Louis, MO 63110-4009
Phone 314-664-3927
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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