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1588206015
ZACKARY GRAY
SALEM, OR
NPI
1588206015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10202002)
Enumeration Date
2019-10-16
Last Update Date
2019-10-16
Business Address
ZACKARY GRAY Behavioral Therapist
1174 CORNUCOPIA ST NW STE 110
SALEM, OR 97304-3193
Phone number: 800-273-4292
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Mailing Address
ZACKARY GRAY Behavioral Therapist
11037 WARNER AVE # 339
FOUNTAIN VALLEY, CA 92708-4007
Phone number: 714-848-8319
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