Provider Demographics
NPI:1730422759
Name:GRAY, CHRISTY CAMERON (BCBA)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:CAMERON
Last Name:GRAY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:ANN
Other - Last Name:CAMERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HENRY CLAY AVE
Mailing Address - Street 2:THE AUTISM CENTER
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-896-7272
Mailing Address - Fax:504-896-7273
Practice Address - Street 1:200 HENRY CLAY AVE
Practice Address - Street 2:THE AUTISM CENTER
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5720
Practice Address - Country:US
Practice Address - Phone:504-896-7272
Practice Address - Fax:504-896-7273
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist