Stephen Gordon, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-19-37425 Issued in FL

Practice address

1765 SW Captains PL
Palm City, FL 34990-1747

Phone

(772) 266-8727

Fax

(772) 494-7093

NPI assigned

Aug 31, 2014

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simplyaba, LLC

  dba ABA Foundations

  • Behavior Analyst
  • Palm City, FL
  • NPI 1306244801
  NPD
• My Favorite Therapists, LLC

  • Behavior Analyst
  • Deerfield Beach, FL
  • NPI 1992153217
  NPD (past)
• Oca Opportunity Community Ability Inc

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1952767048

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1043610785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12517 SW MYRTLE OAK DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349876410",
            "telephone_number": "561-543-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SW CAPTAINS PL",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901747",
            "telephone_number": "772-266-8727",
            "fax_number": "772-494-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEPHEN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-31",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-19-37425",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Aleida Gomez
• Jenny D Gonzalez Cuenca
• Adriana Carolina Gonzalez
• Marleny Altagracia Gonzalez
• Mya Kaarina Gonzalez
• Ronald Eric Gots, MD PHD
• Grand Oaks of Palm City, LLC
• Janiyah Gray
• Danielle Rachel Green, RBT
• Gregory C. Lovaas, MD, PA

• Behavior Analyst in Palm City, FL
• Providers in Palm City, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.