Individual provider Active NPI

Virginia Ann Gordon, RBT

  • Behavior Technician
  • South Ogden, UT
National Provider Identifier
1124709605
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6033 Fashion Point Dr Ste 100
South Ogden, UT 84403-4848
Phone
(605) 271-2690
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6033 Fashion Point Dr Ste 100
South Ogden, UT 84403-4848

Mailing address

1455 Valley Dr # 5504
Ogden, UT 84401-0805
Phone (801) 500-6225

Other practice location 1

1455 Valley Dr # 5504
Ogden, UT 84401-0805
Phone (801) 500-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1124709605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 VALLEY DR # 5504",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844010805",
            "telephone_number": "801-500-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 FASHION POINT DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034848",
            "telephone_number": "605-271-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Valley Dr # 5504",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844010805",
            "country_code": "US",
            "telephone_number": "801-500-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.