Rebekah Kennedy Gray
Behavior Technician in Brandon, FL. Individual provider (NPI-1).
NPI number1962234591
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1962234591
- Entity type
- Individual (NPI-1)
- Name
- Rebekah Kennedy Gray
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2024
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | C173365001 | MO | Yes |
Practice location
815 S Parsons AveBrandon, FL 33511-6063
Phone 941-263-1451
Mailing address
7500 San Felipe St Ste 990Houston, TX 77063-1708
Phone 866-610-0580 · Fax 866-611-1558
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