Individual provider Active NPI

Lance Anthony Gray

  • Behavior Technician
  • Kahului, HI
National Provider Identifier
1104717123
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
427 Ala Makani St Ste 200
Kahului, HI 96732-3571
Phone
(808) 204-2893
NPI assigned
Jul 9, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

427 Ala Makani St Ste 200
Kahului, HI 96732-3571

Mailing address

427 Ala Makani St Ste 200
Kahului, HI 96732-3571
Phone (808) 204-2893

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL bayadahomecare.com BAYADA Home Care

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1104717123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ALA MAKANI ST STE 200",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323571",
            "telephone_number": "808-204-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 ALA MAKANI ST STE 200",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323571",
            "telephone_number": "808-204-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LANCE",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bayadahomecare.com",
            "affiliation": "Y",
            "affiliationName": "BAYADA Home Care",
            "address_1": "427 Ala Makani St Ste 200",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967323571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.