Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayanna Heavenly-Mariea Gordon

Individual provider Behavior Technician · NPI 1508627555

Ayanna Heavenly-Mariea Gordon is a Behavior Technician in Port Orchard, Washington. Licensed in Washington. Registered with an NPI since 2024.

Licensed in
WA
In the registry since
2024

Practice location Address checks out

13765 Vintage Dr SW
Port Orchard, WA 98367-7391
Phone: (253) 970-2414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence WDLGLJH400FB (WA)

Record details

NPI number1508627555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Other providers in Port Orchard