Michael Scott Gammage, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-08-4033 Issued in TX

Practice address

1625 Martel Ave
Fort Worth, TX 76103-1416

Phone

(817) 992-0931

Fax

(817) 531-8261

NPI assigned

Aug 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1225344922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MARTEL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031416",
            "telephone_number": "817-992-0931",
            "fax_number": "817-531-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MARTEL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031416",
            "telephone_number": "817-992-0931",
            "fax_number": "817-531-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMAGE",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-08-4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Gamble
• Keaunna Shauntasia Gamble, LCSW
• Roxanna Gamez-Gonzalez
• Yvonne Yvette Gamez, MS CCC-SLP
• Safinaz Gamini, OD
• Christina Lashell Gammer, RN
• Breanna Tuck Gammon, LCSW
• Anand Ganapathy
• Suomi Lopez Gandara, SLP-A
• Artee Gandhi, MD

• Behavior Analyst in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.