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Tatyana Gray

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1982246245
StatusActive
Last updated in NPPESFeb 18, 2020

Details

NPI
1982246245
Entity type
Individual (NPI-1)
Name
Tatyana Gray
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2019
Certification date
Feb 18, 2020
Last updated
Feb 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1550 Hotel Cir N Ste 270
San Diego, CA 92108-2908

Phone 619-814-6494 · Fax 619-528-4625

Mailing address

Po Box 609001
San Diego, CA 92160-9001

Phone 619-528-4600 · Fax 619-528-4625

Other practice locations

3934 Murphy Canyon Rd Ste B202
San Diego, CA 92123-4437

Phone 619-598-2924

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