IndividualActive
Carla Gray, BHRS
NPI 1790068641 · Behavior Analyst · Tishomingo, OK
Provider details
- NPI number
- 1790068641
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BHRS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4900 W Acorn Rd
Tishomingo, OK 73460-4801
Phone: (580) 220-1360
Approximate (ZIP-level) locationGet directions
Mailing address
4900 W Acorn Rd
Tishomingo, OK 73460-4801
Registry dates
- Enumerated
- 2011-09-27
- Last updated
- 2011-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.