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NPI Code Detail

MEDICARE: ANGERIKA GRAY

MEDICARE: ANGERIKA 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
1106E00000XAssistant Behavior Analyst

General Provider Information

NPI Number : 1033661178
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGERIKA GRAY
Provider Business Mailing Address
First Line : 329 EAST 149
Second Line :
City : BRONX
State : NY
Zip : 10451
Country : US
Telephone Number : 718-769-2689
Fax Number :
Provider Business Practice Location Address
First Line : 329 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5625
Country : US
Telephone Number : 718-769-2689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 07/21/2022

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Directions to “ ANGERIKA GRAY ” Practice Location

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