Emily Tristan Gray

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-2578-388848 Issued in TN

Practice address

1880 Old Highway 51 S
Brighton, TN 38011-8025

Phone

(901) 290-3916

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yaya'S Place Inc.

  • Community/Behavioral Health Agency
  • Cordova, TN
  • NPI 1154093037
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1851071997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 OLD HIGHWAY 51 S",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118025",
            "telephone_number": "901-290-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 OLD HIGHWAY 51 S",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380118025",
            "telephone_number": "901-290-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EMILY",
        "middle_name": "TRISTAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-22-2578-388848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Eastep, RBT
• Kinley Elizabeth Escue, RBT
• Family Practice of Covington, Inc
• Aubree Gallagher, RBT
• Brandi Glover, RBT
• Erica Gray, COO
• Erin Mishael Grisham, RBT
• Katherine Hall, FNP-BC
• Amanda M Holder, FNP-C
• Anita Holmes, LCSW

• Behavior Technician in Brighton, TN
• Providers in Brighton, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.