Most Relevant Information
Provider Data
| NPI Number: | 1003204207 |
| Provider Name: | MAURA PHILLIPS GRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/23/2014 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
2233 ACADEMY PL STE 201
COLORADO SPRINGS
CO
809091679
Practice Location Phone/Fax
| Phone: | 7193010002 |
| Fax: |
Provider Mailing Location
1330 QUAIL LAKE LOOP STE 200
COLORADO SPRINGS
CO
809064651
Provider Mailing Phone/Fax
| Phone: | 7195402152 |
| Fax: | 7195402101 |