NPI 1003397704

Shacora Tawanna Gordon

Practitioner Behavior Analyst Bellmore, NY

Practice location

Address: 2631 Merrick Rd STE 302, Bellmore, NY 11710-5784
Phone: (516) 590-7575
Mailing address: 111 Bridge St APT 7b, Brooklyn, NY 11201-1513

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in New York →

Registry record

NPI: 1003397704
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Aug 2018
Record last updated: 22 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.