Active NPI
Marjorie Gorman, MS, BCBA, LABA
- Behavior Analyst
- Anaheim, CA
National Provider Identifier
1215476726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 000000303
- Practice address
- 1301 E Orangewood Ave
Anaheim, CA 92805-6807 - Phone
- (800) 249-1266
- NPI assigned
- Feb 16, 2017
- Last updated
- Oct 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000000303 | MA | Primary |
Addresses
Primary practice location
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Mailing address
1301 E Orangewood Ave
Anaheim, CA 92805-6807
Phone (917) 608-6208
Other practice location 1
9 Sedgwick St Apt 2L
Jamaica Plain, MA 02130-2882
Phone (917) 608-6208
Other practice location 2
4950 San Bernardino St
Montclair, CA 91763-2328
Phone (800) 249-1266
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000303 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1215476726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E ORANGEWOOD AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056807",
"telephone_number": "917-608-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E ORANGEWOOD AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928056807",
"telephone_number": "800-249-1266"
}
],
"practiceLocations": [
{
"address_1": "9 Sedgwick St Apt 2L",
"address_purpose": "LOCATION",
"city": "Jamaica Plain",
"state": "MA",
"postal_code": "021302882",
"country_code": "US",
"telephone_number": "917-608-6208",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4950 San Bernardino St",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "CA",
"postal_code": "917632328",
"country_code": "US",
"telephone_number": "800-249-1266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "MARJORIE",
"credential": "MS, BCBA, LABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "000000303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.