Active NPI
Morly Gourdet, BCBA
- Behavior Analyst
- Longwood, FL
National Provider Identifier
1639855224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-2854443
- Practice address
- 1250 W State Road 434 Ste 1000
Longwood, FL 32750-4969 - Phone
- (689) 304-9638
- NPI assigned
- Jun 27, 2023
- Last updated
- Sep 29, 2026
- 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 | 1-26-2854443 | FL | Primary |
Addresses
Primary practice location
1250 W State Road 434 Ste 1000
Longwood, FL 32750-4969
Mailing address
315 Lake Seminary Cir
Maitland, FL 32751-3310
Phone (561) 201-2076
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-281507 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1639855224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LAKE SEMINARY CIR",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327513310",
"telephone_number": "561-201-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W STATE ROAD 434 STE 1000",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504969",
"telephone_number": "689-304-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURDET",
"first_name": "MORLY",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-2854443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.