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Shacora Tawanna Gordon

Behavior Analyst

2631 Merrick Rd Ste 302
Bellmore , New York 11710-5784

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Shacora Tawanna Gordon

Behavior Analyst

2631 Merrick Rd Ste 302
Bellmore , New York 11710-5784

(475) 449-4556

Write a Review Save Call

Shacora Tawanna Gordon

Behavior Analyst

2631 Merrick Rd Ste 302
Bellmore , New York 11710-5784

(475) 449-4556 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Behavior Analyst

Languages spoken

  • English

Location

2631 Merrick Rd Ste 302 Bellmore , New York 11710-5784

First Address

  • Shacora Tawanna Gordon
  • 111 Bridge St Apt 7b
  • Brooklyn, NY
  • Zip : 11201-1513
  • Phone : (475) 449-4556

Second Address

  • Shacora Tawanna Gordon
  • 2631 Merrick Rd Ste 302
  • Bellmore, NY
  • Zip : 11710-5784
  • Phone : (516) 590-7575

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FAQs


Where did Shacora Tawanna Gordon attend graduate school?

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Where did Shacora Tawanna Gordon do her residency?

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Where did Shacora Tawanna Gordon do her fellowship?

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Is Shacora Tawanna Gordon board certified?

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What type of doctor is Shacora Tawanna Gordon

Behavior Analyst

In what state does Shacora Tawanna Gordon practice in?

New York

Where is Shacora Tawanna Gordon ’s practice located?

2631 Merrick Rd Ste 302 , Bellmore, New York, 11710-5784

What is Shacora Tawanna Gordon ’s gender?

Female

Is Shacora Tawanna Gordon a sole practitioner?

No

Is Shacora Tawanna Gordon accepting new patients?

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What languages does Shacora Tawanna Gordon speak?

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Does Shacora Tawanna Gordon accept insurance?

Yes, Shacora Tawanna Gordon accepts insurance

Does Shacora Tawanna Gordon offers telemedicine?

Shacora Tawanna Gordon has not indicated if she offers telemedicine

What is Shacora Tawanna Gordon ’s professional license number?

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What is Shacora Tawanna Gordon ’s NPI number?

1003397704

Does Shacora Tawanna Gordon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103K00000X Behavior Analyst

National Provider Identifier

NPI 1003397704
Provider Name Shacora Tawanna Gordon
First Address Brooklyn, NY 11201-1513
Second Address Bellmore, NY 11710-5784
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/08/2018
Last Update Date 22/08/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
103K00000X (05) NY

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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