Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Lucille Gray, OTRL

Individual provider Behavior Technician · NPI 1629556006

Madison Lucille Gray, OTRL is a Behavior Technician in Bay City, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3707 Katalin Ct
Bay City, MI 48706-2161
Phone: (989) 671-0866
Fax: (989) 671-0867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1525 Ridgewood Dr, Midland, MI 48642-6425 — (989) 835-6333

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201012830 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1629556006
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedJuly 30, 2018
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

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