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NPI Code Detail

MEDICARE: LEIGHANNE ALYSON GRAY

MEDICARE: LEIGHANNE ALYSON GRAY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1952268815
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGHANNE ALYSON GRAY
Provider Business Mailing Address
First Line : 7952 OBERON RD APT B
Second Line :
City : ARVADA
State : CO
Zip : 80004-5648
Country : US
Telephone Number : 720-966-3366
Fax Number :
Provider Business Practice Location Address
First Line : 8354 E NORTHFIELD BLVD UNIT 3700
Second Line :
City : DENVER
State : CO
Zip : 80238-3135
Country : US
Telephone Number : 720-966-3366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ LEIGHANNE ALYSON GRAY ” Practice Location

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