Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAEGAN MACKENZIE GORDON
NPI 1346176260
Behavior Analyst in Fort Worth, TX

Q: What is Raegan Gordon's NPI number?

The NPI number for Raegan Gordon is 1346176260. It was assigned to this individual provider in the NPPES registry on June 18, 2026.

Q: What is Raegan 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 Raegan Gordon was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.

Active since June 18, 2026

4917 GOLDEN TRIANGLE BLVD STE 411, FORT WORTH, TX 76244(817) 754-4940(817) 717-8584 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raegan Mackenzie Gordon NPPES

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

RAEGAN MACKENZIE GORDON (NPI 1346176260) is an individual behavior analyst provider in Fort Worth, Texas, licensed in Texas (BHV-010655) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1346176260

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameRAEGAN MACKENZIE GORDON

Location Address4917 GOLDEN TRIANGLE BLVD STE 411Fort Worth, TX 76244-4672

Mailing Address4917 Golden Triangle Blvd Ste 411Fort Worth, TX 76244-4672 · (817) 754-4940 · Fax (817) 717-8584

Phone(817) 754-4940

Fax(817) 717-8584

Sole ProprietorNo

Enumeration DateJune 18, 2026

Last NPPES UpdateJuly 14, 2026

NPPES CertifiedJuly 14, 2026

✔ NPI 1346176260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in TX · BHV-010655

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.

4917 GOLDEN TRIANGLE BLVD STE 411, Fort Worth, TX 76244

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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.

MARYSSA EDWARDS

Behavior Technician