Individual provider Active NPI

Andreadenise Jacqueline Gray, RBT

  • Behavior Technician
  • Sugar Land, TX
National Provider Identifier
1568973592
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
11420 Dairy Ashford Rd Ste 108
Sugar Land, TX 77478-6215
Phone
(832) 500-7212
NPI assigned
Oct 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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

11420 Dairy Ashford Rd Ste 108
Sugar Land, TX 77478-6215

Mailing address

14 Madison Ave Apt 3
Pleasantville, NY 10570-3269
Phone (914) 843-5740

Other practice location 1

600 Bayview Ave Ste 309
Inwood, NY 11096
Phone (516) 229-1194

Other practice location 2

225 Broadhollow Rd Ste 402
Melville, NY 11747
Phone (631) 385-7780

Other practice location 3

225 Broadhollow Rd Ste 402
Melville, NY 11747
Phone (631) 385-7780

Other practice location 4

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292
Phone (678) 256-4057

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1568973592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MADISON AVE APT 3",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703269",
            "telephone_number": "914-843-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 DAIRY ASHFORD RD STE 108",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786215",
            "telephone_number": "832-500-7212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Bayview Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "11096",
            "country_code": "US",
            "telephone_number": "516-229-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Broadhollow Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "11747",
            "country_code": "US",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Broadhollow Rd Ste 402",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "11747",
            "country_code": "US",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Peachtree St NW Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303031292",
            "country_code": "US",
            "telephone_number": "678-256-4057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANDREADENISE",
        "middle_name": "JACQUELINE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.