Jamielynn Gordon, M.A., MSW, ASW, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17474 Issued in CA

Practice address

795 Folsom St FL 1
San Francisco, CA 94107-4226

Phone

(855) 832-6727

Fax

(772) 675-9100

NPI assigned

Mar 15, 2015

Sex

Female

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

Credentials

Master of Arts

Practice roles

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

• BHPN, LLC

  • Case Management Agency
  • Walnut Creek, CA
  • NPI 1588157424

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1154714152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FOLSOM ST FL 1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941074226",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Shadelands Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982538",
            "country_code": "US",
            "telephone_number": "925-266-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JAMIELYNN",
        "name_prefix": "Ms.",
        "credential": "M.A., MSW, ASW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Raquel Gordon
• Emily Gordon, MFT
• Holly Joan Gordon, DMH
• Irina Gordon, RN MSN CWOCN FNP-C
• Ja'Miy Jaylah Gordon
• Joshua Asher Gordon, MD
• Leonard Gordon, MD
• Lindsay Gordon
• Loretta N Gordon, MFT
• Molly Gordon, PT, DPT

• Behavior Analyst in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.