Stephen Gordon, BCBA

Behavior Analyst · Palm City, FL

Individual Active NPI

NPI number 1043610785

Practice location

1765 SW Captains Pl
Palm City, FL 34990-1747
Phone
(772) 266-8727
Fax
(772) 494-7093

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NPI record

NPI
1043610785
Entity type
Individual (Type 1)
Enumeration date
August 31, 2014
Last updated
January 26, 2023
Certified
January 26, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X BCBA-19-37425 FL
Assistant Behavior Analyst 106E00000X — —

Mailing address

12517 SW Myrtle Oak Dr
Port St Lucie, FL 34987-6410
Phone
(561) 543-0716

About Stephen Gordon

Stephen Gordon, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 1765 SW Captains Pl, Palm City, FL 34990-1747. The NPI number 1043610785 was assigned on August 31, 2014 and the record was last updated on January 26, 2023.

Stephen Gordon lists a license in the registry: #BCBA-19-37425 (FL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Gordon, BCBA?

The NPI number is 1043610785.

What is the phone number of Stephen Gordon?

The phone number listed for the practice location is (772) 266-8727.

Where is Stephen Gordon located?

1765 SW Captains Pl, Palm City, FL 34990-1747.

What is the taxonomy code for Stephen Gordon?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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