Individual provider Active NPI

Amanda Lynn Gray, M.S., BCBA, IBA, LBA

  • Behavior Analyst
  • Dundee, FL
National Provider Identifier
1982131678
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-54758 Issued in FL
Practice address
2202 Mandarin Loop
Dundee, FL 33838-4387
Phone
(321) 486-9243
Fax
(321) 486-9329
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-54758 FL Primary

Addresses

Primary practice location

2202 Mandarin Loop
Dundee, FL 33838-4387

Mailing address

2202 Mandarin Loop
Dundee, FL 33838-4387
Phone (321) 486-9243

Other identifiers 2

IdentifierTypeStateIssuer
020898300MedicaidFL
1-21-54758OtherBOARD CERTIFIED BEHAVIOR ANALYST (BCBA) WITH THE BACB

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Therapy, Inc. Behavior Analyst Current Accepting new patients
Voyage Behavior, Inc. Behavior Analyst Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1982131678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 MANDARIN LOOP",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384387",
            "telephone_number": "321-486-9243",
            "fax_number": "321-486-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 MANDARIN LOOP",
            "city": "DUNDEE",
            "state": "FL",
            "postal_code": "338384387",
            "telephone_number": "321-486-9243",
            "fax_number": "321-486-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.S., BCBA, IBA, LBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-54758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020898300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST (BCBA) WITH THE BACB",
            "identifier": "1-21-54758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.