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General NPI Number Information
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NPI Number | 1871950048
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Entity Type | Individual
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Provider Name | TEMORA GRAY PH.D., BCBA
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 9303 AVONDALE PARK
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City | CONVERSE
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State | TX
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Zip | 78109-0357
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Country | US
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Telephone | 917-783-8065
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Fax | 800-383-9015
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Provider Business Mailing Address
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Address Line | 9303 AVONDALE PARK
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City | CONVERSE
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State | TX
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Zip | 78109-0357
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Country | US
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Telephone | 917-783-8065
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Fax | 800-383-9015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1-15-19471
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 37702
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37702
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License Number State | TX
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