AYANNA HEAVENLY-MARIEA GORDON
NPI 1508627555
Behavior Technician in Port Orchard, WA

Active since January 17, 2024
13765 VINTAGE DR SW, PORT ORCHARD, WA 98367(253) 970-2414 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayanna Heavenly-mariea Gordon NPPES

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

AYANNA HEAVENLY-MARIEA GORDON (NPI 1508627555) is an individual behavior technician in Port Orchard, Washington, licensed in Washington (WDLGLJH400FB) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1508627555
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameAYANNA HEAVENLY-MARIEA GORDON
Location Address13765 VINTAGE DR SWPort Orchard, WA 98367-7391
Mailing Address13765 Vintage Dr SwPort Orchard, WA 98367-7391 · (253) 970-2414
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1508627555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in WA · WDLGLJH400FB
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.
13765 VINTAGE DR SW, Port Orchard, WA 98367

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.

Behavior Analyst
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Analyst
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367
Behavior Technician
13765 VINTAGE DR SW
PORT ORCHARD, WA 98367

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayanna Gordon's NPI number?

The NPI number for Ayanna Gordon is 1508627555. It was assigned to this individual provider in the NPPES registry on January 17, 2024.

Where is Ayanna Gordon located?

Ayanna Gordon practices at 13765 Vintage Dr SW, Port Orchard, WA 98367. The listed phone number is (253) 970-2414.

What is Ayanna Gordon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ayanna Gordon was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.