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General NPI Number Information
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NPI Number | 1467377762
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Entity Type | Organization
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Legal Business Name | GRAYS ABA THERAPY LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1653 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3425
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Country | US
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Telephone | 910-900-4744
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Fax | 910-370-1556
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Provider Business Mailing Address
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Address Line | 1653 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3425
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Country | US
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Telephone | 910-900-4744
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Fax | 910-370-1556
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Authorized Official
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Title or Position | OWNER
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Name | TERRANCE GRAY JR.
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Credential |
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Telephone | 910-824-8032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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