Healthcare Provider Details

I. General information

NPI: 1932049772
Provider Name (Legal Business Name): WHITNEY ERIN GRAY RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 CEDAR LODGE RD
THOMASVILLE NC
27360-6143
US

IV. Provider business mailing address

9181 N NC HWY 150
CLEMMONS NC
27012-6850
US

V. Phone/Fax

Practice location:
  • Phone: 336-953-7049
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number000027569896
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: