Kelley B Gray II
Individual provider Active NPI Behavior Technician · Auburn, MI
NPI 1992279236 · NPPES record last updated Jan 21, 2019
Key facts
- NPI
- 1992279236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 4600 Garfield Rd
Auburn, MI 48611-9369 - Phone
- (989) 266-3415
- NPI assigned
- Jan 21, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
4600 Garfield Rd
Auburn, MI 48611-9369
Mailing address
4600 Garfield Rd
Auburn, MI 48611-9369
Phone (989) 266-3415
Other providers in Auburn, MI
- Kristena Gilbreath
- Katie Evelyn Good
- Theresa Goodrich-Robinson
- Karen Joan Gougeon
- Justine Grassel
- Justin Donald Grifka
- Tammy Jean Harmon
- Gloria Harris
- Miah Harris
- Megan A Hebert
All providers in Auburn, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.