Active NPI
Magdalene Renee Gray
- Behavior Technician
- Mansfield, OH
National Provider Identifier
1013575299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1033 Larchwood Rd
Mansfield, OH 44907-2424 - Phone
- (419) 747-4122
- Fax
- (419) 747-4126
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1033 Larchwood Rd
Mansfield, OH 44907-2424
Mailing address
36 N Gamble St Apt a
Shelby, OH 44875-1278
Phone (419) 631-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1013575299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 N GAMBLE ST APT A",
"city": "SHELBY",
"state": "OH",
"postal_code": "448751278",
"telephone_number": "419-631-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 LARCHWOOD RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072424",
"telephone_number": "419-747-4122",
"fax_number": "419-747-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "MAGDALENE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.