Active NPIIndividual provider

Amy Gordon, MED LABA

Behavior Analyst in Plymouth, Massachusetts

NPI Number1316630684
Practice location
29 S Park Ave, Plymouth, MA 02360-3831
Fax
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Last updated
June 1, 2023

Amy Gordon is a Behavior Analyst based in Plymouth, MA. Amy Gordon practices in Plymouth, MA and has the professional credentials of MED LABA. The NPI Number for Amy Gordon is 1316630684 and holds a License No. 2057 (MA). The current practice location address for Amy Gordon is 29 S Park Ave, Plymouth, MA 02360-3831 and can be reached out via phone at 508-975-1160.

Provider Profile Details

NPI Number
1316630684
Provider Name
Amy Gordon
Credential
MED LABA
Provider Entity Type
Individual
Gender
Female
Address
29 S Park Ave, Plymouth, MA 02360-3831
Phone Number
508-975-1160
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2023
Last Update Date
June 1, 2023
Certification Date
June 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 S Park Ave
Plymouth, MA 02360-3831
Zip
02360-3831
Phone Number
508-975-1160
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
29 S Park Ave
Plymouth, MA 02360-3831
City
Plymouth
State
MA
Zip
02360-3831
Phone Number
508-975-1160

License Information

License Number
2057
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy Gordon, MED LABA?

The NPI number of Amy Gordon, MED LABA is 1316630684. It was assigned on June 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Amy Gordon, MED LABA?

Amy Gordon, MED LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 2057.

Where does Amy Gordon, MED LABA practice?

The practice location is 29 S Park Ave, Plymouth, MA 02360-3831. The office can be reached at 508-975-1160 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316630684 directly on the NPPES registry website.

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