Shane Gammage

NPI 1124510011 · on the registry since 2018

Practice

Address: 34406 N 27th Dr Bldg 6
Suite 101-109
Phoenix, AZ 85085
Phone: (480) 863-6550
Organisation at this address: Asburry Group Llc
Dr Justin Ross Plc
The Bienetre Center
Dantia Wellness Llc
Jewel Of The Sun Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona