Tatiyana Nichole Ross Gordon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

18383 Taloga Rd
Apple Valley, CA 92307-4594

Phone

(310) 780-0512

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1386499408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18383 TALOGA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074594",
            "telephone_number": "310-780-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18383 TALOGA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074594",
            "telephone_number": "310-780-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS GORDON",
        "first_name": "TATIYANA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saeideh Saba Roozitalab
• Franceen Mary Rosales
• Lisa Kathleen Rosales, MA
• Ginger Nichole Rose
• Kristina Marie Rosenau
• Crystal Abigail Rouli, DPT
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• Alex Rubio
• Ruby Jane Sia MD Inc
• Andrew Rudd

• Behavior Technician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.