Provider Demographics
NPI:1255825279
Name:GORDON, JOANNA (BCBA)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:GORDON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ABA CENTERS OF AMERICA
Mailing Address - Street 2:4620 N STATE RD. 7 STE 300
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5867
Mailing Address - Country:US
Mailing Address - Phone:561-323-6593
Mailing Address - Fax:561-997-1246
Practice Address - Street 1:ABA CENTERS OF AMERICA
Practice Address - Street 2:542 AMHERST STREET, SUITE B
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:844-771-0965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NH1-25-81914103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst