Most Relevant Information
Provider Data
| NPI Number: | 1003661992 |
| Provider Name: | KIEASHA GREGORY |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2024 |
| Last Updated: | 04/23/2024 |
Provider Practice Location
1081 OAK ST STE 3
PITTSTON
PA
186403716
Practice Location Phone/Fax
| Phone: | 5708023098 |
| Fax: |
Provider Mailing Location
9 BANKS AVE
MCADOO
PA
182372508
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |