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

Shane Matthew Gammage

Individual provider Behavior Analyst · NPI 1124510011

Shane Matthew Gammage is a Behavior Analyst in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018

Practice location Address checks out

34406 N 27th Dr Bldg 6 Ste 101-109
Phoenix, AZ 85085-6082
Phone: (480) 863-6550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (AZ)

Record details

NPI number1124510011
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address34406 N 27th Dr Bldg 6, Suite 101-109, Phoenix, AZ 85085-6082

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