Jacqueline M Gordon
Behavior Technician in Red Bank, New Jersey
1861167470- Practice location
- 125 Half Mile RD, Red Bank, NJ 07701-6749
- Phone
- 855-832-6727
- Fax
- —
- Last updated
- August 16, 2021
Jacqueline Marie Gordon is a Behavior Technician based in Red Bank, NJ. Jacqueline Marie Gordon practices in Red Bank, NJ. The NPI Number for Jacqueline Marie Gordon is 1861167470. The current practice location address for Jacqueline Marie Gordon is 125 Half Mile RD, Red Bank, NJ 07701-6749 and can be reached out via phone at 855-832-6727.
Provider Profile Details
- NPI Number
- 1861167470
- Provider Name
- Jacqueline Marie Gordon
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 125 Half Mile RD, Red Bank, NJ 07701-6749
- Phone Number
- 855-832-6727
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2021
- Last Update Date
- August 16, 2021
- Certification Date
- August 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Half Mile RD
Red Bank, NJ 07701-6749 - City
- Red Bank
- State
- New Jersey
- Zip
- 07701-6749
- Phone Number
- 855-832-6727
Provider Business Mailing Address Details
- Address
- 125 Half Mile RD Ste 200
Red Bank, NJ 07701-6749 - City
- Red Bank
- State
- NJ
- Zip
- 07701-6749
License Information
- License State
- NJ
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jacqueline M Gordon?
The NPI number of Jacqueline M Gordon is 1861167470. It was assigned on August 16, 2021 and is currently active in the NPPES registry.
What is the specialty of Jacqueline M Gordon?
Jacqueline M Gordon is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Jacqueline M Gordon practice?
The practice location is 125 Half Mile RD, Red Bank, NJ 07701-6749. The office can be reached at 855-832-6727 (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 1861167470 directly on the NPPES registry website.