Most Relevant Information
Provider Data
| NPI Number: | 1003480229 |
| Provider Name: | MEGHAN ELIZABETH GRAY LBA, BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2021 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
473 N KIRKWOOD RD # 1
KIRKWOOD
MO
631223911
Practice Location Phone/Fax
| Phone: | 2175258332 |
| Fax: | 2177891420 |
Provider Mailing Location
5220 6TH STREET FRONTAGE RD E STE 1700
SPRINGFIELD
IL
627035771
Provider Mailing Phone/Fax
| Phone: | 2175258332 |
| Fax: | 2177891420 |