Provider Demographics
NPI:1134647761
Name:WRIGHT, GAMAAE DANAE
Entity Type:Individual
Prefix:
First Name:GAMAAE
Middle Name:DANAE
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 SAINT ROSE PKWY APT 2236
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4261
Mailing Address - Country:US
Mailing Address - Phone:725-221-0898
Mailing Address - Fax:
Practice Address - Street 1:3370 SAINT ROSE PKWY APT 2236
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4261
Practice Address - Country:US
Practice Address - Phone:725-221-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-04
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst