Healthcare Provider Details

I. General information

NPI: 1841128956
Provider Name (Legal Business Name): ALAYSHA MONIQUE GRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7127 AMBASSADOR RD
WINDSOR MILL MD
21244-3054
US

IV. Provider business mailing address

7127 AMBASSADOR RD
WINDSOR MILL MD
21244-3054
US

V. Phone/Fax

Practice location:
  • Phone: 312-376-1327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: