SHACORA TAWANNA GORDON - NPI 1003397704 - Behavior Analyst in Bellmore, NY

Q: What is Shacora Gordon's NPI number?

The NPI number for Shacora Gordon is 1003397704. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Q: What is Shacora Gordon's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shacora Gordon was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Shacora Tawanna Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHACORA TAWANNA GORDON (NPI 1003397704) is an individual behavior analyst provider in Bellmore, New York and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1003397704

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameSHACORA TAWANNA GORDON

Location Address2631 MERRICK RD STE 302Bellmore, NY 11710-5784

Mailing Address111 Bridge St Apt 7bBrooklyn, NY 11201-1513 · (475) 449-4556

Phone(516) 590-7575

Sole ProprietorNo

Enumeration DateAugust 22, 2018

✔ NPI 1003397704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2631 MERRICK RD STE 302, Bellmore, NY 11710

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Other Identifiers 1

Medicaid103K00000XNY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILFREDO TORRES JR.

Behavior Analyst