Active NPI
Briana Gordon, BSL, MA
- Behavior Analyst
- Harrisburg, PA
National Provider Identifier
1356825558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BH002679
- Practice address
- 5351C Jaycee Ave
Harrisburg, PA 17112-2997 - Phone
- (717) 657-2080
- Fax
- (717) 657-2290
- NPI assigned
- Sep 24, 2018
- Last updated
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
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 | BH002679 | PA | Primary |
Addresses
Primary practice location
5351C Jaycee Ave
Harrisburg, PA 17112-2997
Mailing address
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
Other practice location 1
625 W Elm Ave
Hanover, PA 17331-5125
Phone (717) 632-4900
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
- Bachelor of Science - Law, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH002679 | PA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bti Center Services LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1356825558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W ELM AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173315125",
"telephone_number": "717-632-4900",
"fax_number": "717-632-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5351C JAYCEE AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171122997",
"telephone_number": "717-657-2080",
"fax_number": "717-657-2290"
}
],
"practiceLocations": [
{
"address_1": "625 W Elm Ave",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173315125",
"country_code": "US",
"telephone_number": "717-632-4900",
"fax_number": "717-632-4313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "BRIANA",
"credential": "BSL, MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "PA",
"license": "BH002679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.