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

Shannon Gray

Individual provider Rehabilitation Practitioner · NPI 1649640038

Shannon Gray is a Rehabilitation Practitioner in Las Vegas, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3435 W Craig Rd A
Las Vegas, NV 89130-3446
Phone: (702) 675-6314
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NV)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1649640038
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2015
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

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