Gray, Alicia J
Gray, Alicia J is an individual health care provider with primary practice located at 3151 Stillmeadow Dr , Indianapolis IN 46214-1529. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gray, Alicia J can be contacted via phone (317) 294-5454.Contact Information
Primary practice address
3151 Stillmeadow Dr
Indianapolis IN 46214-1529
Phone: (317) 294-5454
Fax: (317) 295-1713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1508009887 |
|---|---|
| LBN Legal business name | Gray, Alicia J |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2009 |
| Last updated | May 17th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508009887 | NPPES |
| Indiana | Other | 200936750 A | WAIVER-32 CAPRT-F GRANT |
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