Most Relevant Information
Provider Data
| NPI Number: | 1003357435 |
| Provider Name: | MARLON FRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/18/2017 |
| Last Updated: | 03/18/2017 |
Provider Practice Location
11601 BISCAYNE BLVD
STE 310
MIAMI
FL
331813151
Practice Location Phone/Fax
| Phone: | 3052005095 |
| Fax: |
Provider Mailing Location
11601 BISCAYNE BLVD
STE 310
MIAMI
FL
331813151
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |