Patricia Ann Gray, MSED, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

172746 Issued in KY

Practice address

175 Market Place Dr Ste a
Louisville, KY 40229-4471

Phone

(502) 251-7002

Fax

(317) 520-8200

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1609153725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PLACE DR STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402294471",
            "telephone_number": "502-251-7002",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "MSED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "172746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-12-11881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Gray
• Mary Gray
• Natalie Gray
• Nicole Gray, LMT
• Nowell Evan Gray, D.D.S.
• Roycelyn Linette Gray, DMD
• Sandra Gray
• Savannah Graybeal
• Ciera Grayson
• Whitney Michelle Grayson

• Behavior Analyst in Louisville, KY
• Providers in Louisville, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.