JENIYAH IMANI GORDON
NPI 1083582225
Behavior Technician in Charlotte, NC

Active since October 28, 2025
125 BALDWIN AVE, CHARLOTTE, NC 28204(980) 423-1210 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeniyah Imani Gordon NPPES

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

JENIYAH IMANI GORDON (NPI 1083582225) is an individual behavior technician in Charlotte, North Carolina and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1083582225
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENIYAH IMANI GORDON
Location Address125 BALDWIN AVECharlotte, NC 28204-3364
Mailing Address6718 Rubin Lura CtCharlotte, NC 28269-7375 · (704) 606-3108
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1083582225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

125 BALDWIN AVE, Charlotte, NC 28204

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.

Internal Medicine (Cardiovascular Disease)
125 BALDWIN AVE, SUITE 200
CHARLOTTE, NC 28204
Internal Medicine
125 BALDWIN AVE, SUITE 200
CHARLOTTE, NC 28204
Physical Therapist
125 BALDWIN AVE, SUITE 100
CHARLOTTE, NC 28204
Physical Therapist
125 BALDWIN AVE, SUITE 100
CHARLOTTE, NC 28204
Physical Therapist
125 BALDWIN AVE, SUITE 100
CHARLOTTE, NC 28204
Dietitian, Registered
125 BALDWIN AVE, SUITE 200
CHARLOTTE, NC 28204
Clinic/Center (Multi-Specialty)
125 BALDWIN AVE, SUITE 100
CHARLOTTE, NC 28204
Audiologist
125 BALDWIN AVE, SUITE 100
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083582225, enumerated as an "individual" on October 28, 2025.

The provider is located at 125 BALDWIN AVE CHARLOTTE, NC 28204 and the phone number is (980) 423-1210.

Behavior Technician with taxonomy code 106S00000X.