ANGELA C GORDON (NPI# 1023592938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023592938 |
Entity Type | Individual |
Full Name | ANGELA C GORDON |
Practice Address |
139 E Old Trenton Rd # B Clarksville TN 37043-5845 |
Mailing Address |
270 Timber Court Dr Apt D Clarksville TN 37043-5771 |
Practice Telephone | 9318028060 |
Mailing Telephone | 9315427769 |
Enumeration Date | 2018-09-18 |
Last Update Date | 2018-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396147658 | Angela Gordon | Licensed Practical Nurse | 12 Lawton Street, East Orange, NJ 07017 | 2014-09-18 |
1487027082 | Angela Gordon | Counselor | 56 Bay St Fl 6, Staten Island, NY 10301-2563 | 2015-11-04 |
1417147471 | Angela Marie Gordon | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2007-07-26 |
1932307345 | Angela Denise Gordon | Pharmacist | 4300 W 7th St, 119/lr, Little Rock, AR 72205-5446 | 2007-07-06 |
1851462634 | Angela Gordon | Dentist | 2555 Lincoln Hwy, Suite 111, Olympia Fields, IL 60461-1936 | 2006-11-13 |
1932124781 | Angela T Gordon | Physical Therapist | 5400 Shawnee Rd, Suite 104, Alexandria, VA 22312-2300 | 2006-07-13 |
Street Address |
139 E OLD TRENTON RD # B |
City | CLARKSVILLE |
State | TN |
Zip Code | 37043-5845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073001855 | Britney Calico | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2018-04-26 |
1265031280 | Amanda Briar | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2020-10-21 |
1225645369 | Kelsey Renee-love Watson | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2020-09-23 |
1538794961 | Jacob Matthew Slight | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2020-03-05 |
1194363218 | Sonja Lobertini | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2019-12-19 |
1467099093 | Sheryl Maria Daubon | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2019-12-02 |
1447896816 | Morgan Elizabeth Cope | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2019-11-20 |
1962990879 | Katarie Herman | Behavior Technician | 139 E Old Trenton Rd # B, Clarksville, TN 37043-5845 | 2018-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
Find all providers in zip 37043 |
Taxonomy Code | 106S00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Behavior Technician |
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770100018 | Brittany Brianna Forbus | Behavior Technician | 1047 E Monica Dr, Clarksville, TN 37042-6710 | 2020-07-02 |
1508491424 | Kathrine Jackson | Behavior Technician | 139 E Old Trenton Rd Unit B, Clarksville, TN 37043-5845 | 2020-03-11 |
1821620329 | Chelsea Toler | Behavior Technician | 632 Eastern Blvd Ste 220, Clarksville, IN 47129-2463 | 2020-02-12 |
1932746922 | Brittany Khanna | Behavior Technician | 2250 Wilma Rudolph Blvd # F259, Clarksville, TN 37040-8452 | 2019-12-09 |
1124688965 | Hannah Cromer | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-3704 | 2019-06-14 |
1235692005 | Bethany Pinkston | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F259, Clarksville, TN 37040-8452 | 2019-04-09 |
1861957953 | Bailey Nicole Sternberg | Behavior Technician | 2250 Wilma Rudolph Blvd Ste F-259, Clarksville, TN 37040-8452 | 2019-02-04 |
1811468291 | Ashley Lynn Waterbury | Behavior Technician | 1584 Elberta Dr, Clarksville, TN 37042-5319 | 2018-12-11 |
1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
1336625714 | Jennifer Joan Lewis | Behavior Technician | 1117 Thornberry Dr, Clarksville, TN 37043-5631 | 2018-07-18 |
Find all providers in CLARKSVILLE |
City | CLARKSVILLE |
Zip Code | 37043 |
Please comment or provide details below to improve the information on ANGELA C GORDON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.