JAREL GORDON (NPI# 1518362003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518362003 |
| Entity Type | Individual |
| Full Name | JAREL GORDON |
| Credential | BCBA |
| Practice Address |
1028 Winona Ave Sw Roanoke VA 24015-5328 |
| Practice Telephone | 5408151693 |
| Mailing Telephone | 5408151693 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 0133000357 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1028 WINONA AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24015-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763384 | Wild Child Therapeutic Services | Behavioral Analyst | 1028 Winona Ave Sw, Roanoke, VA 24015-5328 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326549163 | Manu Singh | Physical Therapist | 1327 Grandin Rd #243, Roanoke, VA 24015 | 2018-02-27 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1518304955 | Blue Ridge Healthcare Partners, LLC | Clinic/Center | 602 Brandon Ave, Suite 222, Roanoke, VA 24015 | 2013-05-24 |
| 1184938185 | Pamela Jean Merritt | Dentist | 2022 Brambleton Ave Sw, Roanoke, VA 24015 | 2010-08-02 |
| 1093957458 | Susan Wohlford | Speech-Language Pathologist | 2030 Colonial Avenue Sw, Roanoke, VA 24015 | 2009-04-01 |
| 1922141811 | Robert Douglas Ross | Dentist | 1602 Grandin Rd, Roanoke, VA 24015 | 2007-02-14 |
| 1043395825 | Michael Burgoon | Chiropractor | 2302 Colonial Ave Sw, Suite A, Roanoke, VA 24015 | 2006-10-27 |
| 1245342237 | Roanoke Family Medicine | Family Medicine | Roanoke Family Medicine Inc, Roanoke, VA 24015 | 2006-08-31 |
| 1861971475 | Molly Amelia Southard | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-14 |
| 1740769009 | Makayla Ramsey | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24015 | 2018-08-08 |
| Find all providers in zip 24015 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351254 | Okey Nwokolo | Behavioral Analyst | 3083 Ordway Dr Nw Apt G, Roanoke, VA 24017-1989 | 2020-03-19 |
| 1417581075 | Kayla Victoria Ayers | Behavioral Analyst | 58 Forest Hill Ave Ne, Roanoke, VA 24012-4718 | 2020-02-22 |
| 1043778822 | Patience Marie Holdren | Behavioral Analyst | 3433 Brambleton Ave Ste 104a, Roanoke, VA 24018-6536 | 2019-03-11 |
| 1003391541 | Danielle Yoder Hill | Behavioral Analyst | 1126 Howbert Ave Sw, Roanoke, VA 24015-1716 | 2018-10-01 |
| 1477933950 | Jennifer Watson Jamison | Behavioral Analyst | 431 N Rome Dr, Roanoke, VA 24019-8046 | 2015-06-01 |
| 1679961767 | Meredith Webster | Behavioral Analyst | 3433 Brambleton Avenue / Family Insight PC, Suite 201-a, Roanoke, VA 24018 | 2014-12-26 |
| 1447658992 | Alison Law Kelley | Behavioral Analyst | 1112 2nd St Sw, Roanoke, VA 24016-4711 | 2014-12-16 |
| 1114325214 | Patricia Zawisza | Behavioral Analyst | 3034 Timberlane Ave, Roanoke, VA 24018-3731 | 2014-12-05 |
| 1063776839 | Donna Hicks Crawley | Behavioral Analyst | 8029 Hilltop Dr, Roanoke, VA 24018-6722 | 2012-06-27 |
| 1831476530 | Amanda Marshall | Behavioral Analyst | 206 Wells Ave Nw, Roanoke, VA 24016-2442 | 2011-11-08 |
| Find all providers in ROANOKE | ||||
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| 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.