Tavon Gordon
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1669312161
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1669312161
- Entity type
- Individual (NPI-1)
- Name
- Tavon Gordon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2026
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | OR | Yes |
Practice location
1955 Sw 5th Ave Apt 1525Portland, OR 97201-5376
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727
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