Trevor Allan Gordon Jr., BHRS/BS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

7901 NE 10TH St Ste C116
Midwest City, OK 73110-3653

Phone

(405) 532-6316

Fax

(405) 455-7122

NPI assigned

May 25, 2010

Sex

Male

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Bachelor of Science

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1417276874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST STE C116",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103653",
            "telephone_number": "405-532-6316",
            "fax_number": "405-455-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 NE 10TH ST STE C116",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731103653",
            "telephone_number": "405-532-6316",
            "fax_number": "405-455-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TREVOR",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BHRS/BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Goodheart Mugler, M.ED., L.P.C.
• Donita K Goodin, LPC
• Leslie R Goodson, OTR/L, CHT
• Candace Goodwin, PMHNP
• Michelle Lynn Goolsby, M.ED
• Erica Gorman
• Sebrina Dawn Goss
• Ranjana Gottipati, MBBS, MD
• Gregg Stanley Govett, M.D.
• Grace Mata Ruidera, M.D., P.C.

• Behavior Analyst in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.