Shacora Tawanna Gordon
Behavior Analyst
2631 Merrick Rd Ste 302
Bellmore
, New York 11710-5784
Shacora Tawanna Gordon
Behavior Analyst
2631 Merrick Rd Ste 302
Bellmore
, New York 11710-5784
(475) 449-4556
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About
Features
Specialties
- Behavior Analyst
Languages spoken
- English
Location
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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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.