Active NPI
Lauren Gray, BCBA
- Behavior Analyst
- Wilmington, NC
National Provider Identifier
1417609959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 3914
- Practice address
- 3904 Oleander Dr Ste 102
Wilmington, NC 28403-6735 - Phone
- (910) 313-3232
- Fax
- (910) 313-6598
- NPI assigned
- Jan 26, 2022
- Last updated
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 3914 | NC | Primary |
Addresses
Primary practice location
3904 Oleander Dr Ste 102
Wilmington, NC 28403-6735
Mailing address
PO Box 1637
Owensboro, KY 42302-1637
Phone (704) 232-2202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-197559 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1417609959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1637",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423021637",
"telephone_number": "704-232-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3904 OLEANDER DR STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036735",
"telephone_number": "910-313-3232",
"fax_number": "910-313-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LAUREN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "3914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.