Individual provider · Type 1 NPI

Shane Matthew Gammage

Behavior Analyst · Minneapolis, MN

NPI number 1124510011 Active

Practice location

3333 University Ave SE
Minneapolis, MN 55414-3325

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	LBA1080 (MN)

Behavior Analyst: 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…

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About NPI 1124510011

Shane Matthew Gammage's National Provider Identifier is 1124510011, issued on Jun 5, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 23, 2026.