Takwa S Gordon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

930 Sparks St N
Twin Falls, ID 83301-3688

Phone

(510) 283-7216

NPI assigned

Aug 26, 2024

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1346074135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SPARKS ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013688",
            "telephone_number": "510-283-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SPARKS ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013688",
            "telephone_number": "510-283-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TAKWA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gooding Pharmacy Inc (R and R Pharmacy Twin Falls)
• Gooding Pharmacy Inc (R&R Pharmacy - Twin Falls LTC)
• Mason Goodman
• Taryna J Goodman, NP
• Mitchell Maurice Gordon, CPSS, YPSS
• Stephanie Rands Gorringe
• Kyli Gough, RDN, LD
• Lesley D. Goulding, FNP-BC
• Ismael Grachico II, MD
• Amber Patreese Graham, LCSW

• Behavior Technician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.