NPIMap

Individual provider Active NPI

Jenna Gordon, BCBA

  • Behavior Analyst
  • Van Nuys, CA
National Provider Identifier
1730512526
Registry record updated Jan 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16600 Sherman Way Ste 105
Van Nuys, CA 91406
Phone
(818) 991-7722
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

16600 Sherman Way Ste 105
Van Nuys, CA 91406

Mailing address

16600 Sherman Way Ste 105
Van Nuys, CA 91406-3876
Phone (818) 991-7722

Other practice location 1

27240 Turnberry Ln
Ste 240
Valencia, CA 91355-1029
Phone (661) 254-7086

Other practice location 2

14114 Polk St Ste 200
Sylmar, CA 91342
Phone (818) 991-7722

Other practice location 3

16600 Sherman Way Ste 105
Van Nuys, CA 91406
Phone (818) 991-7722

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

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Learning Center Past Accepting new patients
Behavioral Learning Center, Inc Behavior Analyst Past Accepting new patients
Quality Behavior Solutions, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546732800000",
    "number": "1730512526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063876",
            "telephone_number": "818-991-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 SHERMAN WAY STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-991-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27240 Turnberry Ln",
            "address_2": "Ste 240",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913551029",
            "country_code": "US",
            "telephone_number": "661-254-7086",
            "fax_number": "661-254-7108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14114 Polk St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "91342",
            "country_code": "US",
            "telephone_number": "818-991-7722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 Sherman Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "91406",
            "country_code": "US",
            "telephone_number": "818-991-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JENNA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.