KIMBERLY E GORDON (NPI# 1679131676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679131676 |
| Entity Type | Individual |
| Full Name | KIMBERLY E GORDON |
| Practice Address |
1003 Hugh Wallis Rd S Lafayette LA 70508-2528 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 3372054444 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1245407709 | Kimberly Rochelle Gordon | Specialist/Technologist, Other | 3002 Gill St Ste 3, Bloomington, IL 61704-3438 | 2008-05-14 |
| 1649767989 | Kimberly Gordon | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2018-04-20 |
| 1396266904 | Kimberly T Gordon | Counselor | 810 Classon Ave, Brooklyn, NY 11238-6102 | 2017-07-05 |
| 1427590926 | Kimberly Gordon | Nurse Practitioner | 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 | 2016-11-15 |
| 1073974721 | Kimberly Marie Gordon | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2016-03-09 |
| 1134500473 | Kimberly Allison Gordon | Pharmacist | 1550 Gateway Blvd, Fairfield, CA 94533-6901 | 2015-06-12 |
| 1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
| 1184999880 | Kimberly Anne Gordon | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-03-13 |
| Street Address |
1003 HUGH WALLIS RD S |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073879649 | Mark Jude Stanford | Social Worker | 1003 Hugh Wallis Rd S, C-6, Lafayette, LA 70508-2528 | 2012-04-07 |
| 1528674124 | Eric Paul Baquet | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2020-09-18 |
| 1407481351 | Sophie Doucet | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2020-03-10 |
| 1003460395 | Marquita Melissa Cunningham | Case Manager/Care Coordinator | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-07-25 |
| 1467010652 | Starlea Marie Biggs | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-03 |
| 1376101568 | Cornell Lamont Thorn Jr. | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-03 |
| 1245707249 | Samantha Faye Rushlow | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-10-28 |
| 1710468467 | Marissa Winters | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-08-21 |
| 1013494715 | Ciasha Marie Roberts | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-07-25 |
| 1356833180 | Ebony Alexander | Behavior Technician | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1740897719 | Taylor Boulet | Behavioral Analyst | 504 Guilbeau Rd Ste D, Lafayette, LA 70506-8413 | 2020-09-24 |
| 1568074250 | Carly Danielle Mouton | Behavioral Analyst | 207 Calypso Ln, Lafayette, LA 70508-5109 | 2020-08-23 |
| 1033694161 | Summit Behavioral Services | Behavioral Analyst | 105 Saint James Dr, Lafayette, LA 70506-5911 | 2018-09-25 |
| 1386128197 | Kelly Rice | Behavioral Analyst | 1094 Orchard Rd, Lafayette, CA 94549-3147 | 2018-09-18 |
| 1295215358 | Meghan Christine Wagner | Behavioral Analyst | 1295 Crystal Ln, Lafayette, OR 97127-6115 | 2018-08-17 |
| 1982190856 | Hannah Lahaye | Behavioral Analyst | 601 Loire Ave Ste D, Lafayette, LA 70507-2477 | 2018-07-03 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1780036699 | Danielle Kumandan | Behavioral Analyst | 3650 Mt Diablo Blvd, Lafayette, CA 94549-3780 | 2016-07-05 |
| 1992155675 | Brightspots Behavior and Learning | Behavioral Analyst | 512 Thoroughbred Dr, Lafayette, LA 70507-6568 | 2016-06-14 |
| Find all providers in LAFAYETTE | ||||
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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.