Avis B. Gregory

Behavior Technician · O Fallon, IL

Individual Active NPI

NPI number 1407588106

Practice location

1716 Corporate Xing
O Fallon, IL 62269-3734
Phone
(302) 334-8216

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NPI record

NPI
1407588106
Entity type
Individual (Type 1)
Enumeration date
June 30, 2022
Last updated
June 30, 2022
Certified
June 28, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

4240 N Euclid Ave
Saint Louis, MO 63115-2165
Phone
(314) 378-6712

About Avis Gregory

Avis B. Gregory is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1716 Corporate Xing, O Fallon, IL 62269-3734. The NPI number 1407588106 was assigned on June 30, 2022 and the record was last updated on June 30, 2022.

Frequently asked questions

What is the NPI number of Avis B. Gregory?

The NPI number is 1407588106.

What is the phone number of Avis Gregory?

The phone number listed for the practice location is (302) 334-8216.

Where is Avis Gregory located?

1716 Corporate Xing, O Fallon, IL 62269-3734.

What is the taxonomy code for Avis Gregory?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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