1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Behavior Analyst
  6. NPI Profile

SHANE MATTHEW GAMMAGE
NPI 1124510011
Behavior Analyst in Phoenix, AZ

Active since June 05, 2018
34406 N 27TH DR BLDG 6, SUITE 101-109, PHOENIX, AZ 85085(480) 863-6550 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Matthew Gammage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MATTHEW GAMMAGE (NPI 1124510011) is an individual behavior analyst provider in Phoenix, Arizona and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1124510011
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameSHANE MATTHEW GAMMAGE
Location Address34406 N 27TH DR BLDG 6, SUITE 101-109Phoenix, AZ 85085-6082
Mailing Address34406 N 27th Dr Bldg 6, Suite 101-109Phoenix, AZ 85085-6082 · (562) 400-6814
Phone(480) 863-6550
Sole ProprietorNo
Enumeration DateJune 5, 2018
Last NPPES UpdateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1124510011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
34406 N 27TH DR BLDG 6, Phoenix, AZ 85085
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI BROUELETTE MA. LPC.
Counselor
34406 N 27TH DR BLDG 6, SUITE 140
PHOENIX, AZ 85085
Maricopa County (480) 677-9913
MS. JAMIE LYNN BORN LCSW
Social Worker (Clinical)
34406 N 27TH DR BLDG 6
PHOENIX, AZ 85085
Maricopa County (602) 517-0119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Gammage's NPI number?

The NPI number for Shane Gammage is 1124510011. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Shane Gammage located?

Shane Gammage practices at 34406 N 27th Dr Bldg 6 Suite 101-109, Phoenix, AZ 85085. The listed phone number is (480) 863-6550.

What is Shane Gammage's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Shane Gammage was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.