ESHA ALEXANDRE GORDON (NPI# 1154939759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154939759 |
| Entity Type | Individual |
| Full Name | ESHA ALEXANDRE GORDON |
| Practice Address |
465 Winn Way Ste 130&140 Decatur GA 30030-1753 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 8666100580 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| 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 |
| Street Address |
465 WINN WAY STE 130&140 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811405665 | Angela Eschbach | Behavioral Analyst | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2018-01-15 |
| 1346847498 | Ebony Crockton | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-10-01 |
| 1003422403 | Abigail Yaa Mireku | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-09-21 |
| 1689284838 | Jessica Howard | Behavioral Analyst | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-08-03 |
| 1588289383 | Briannah Ivey | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-06-08 |
| 1508480906 | Alexa Delana Gibson | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-06-01 |
| 1285287938 | Florida Autism Center | Assistant Behavior Analyst | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1306446448 | Kristen West | Behavior Technician | 3552 Orchard Cir, Decatur, GA 30032-2510 | 2020-10-28 |
| 1588274377 | Tameka Parker | Behavior Technician | 465 Winn Way # 130140, Decatur, GA 30030-1753 | 2020-08-05 |
| 1134750409 | Lenese Brock | Behavior Technician | 3736 Preakness Dr, Decatur, GA 30034-3342 | 2020-01-27 |
| 1992279418 | Kinesha Johnson | Behavior Technician | 3001 Tarian Way, Decatur, GA 30034-2900 | 2019-01-17 |
| 1518565548 | Avery Claire Pope | Behavior Technician | 160 Clairemont Ave Ste 625, Decatur, GA 30030-2541 | 2020-10-12 |
| 1346847498 | Ebony Crockton | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-10-01 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1134735236 | Katherine Allen | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-23 |
| 1033725247 | Emily Mitchell | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-22 |
| 1003422403 | Abigail Yaa Mireku | Behavior Technician | 465 Winn Way Ste 130&140, Decatur, GA 30030-1753 | 2020-09-21 |
| Find all providers in DECATUR | ||||
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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.