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

Corey Steven Gordon

Individual provider Behavior Technician · NPI 1740858158

Corey Steven Gordon is a Behavior Technician in Melville, New York. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1740858158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2021
Last updated in NPPESJune 12, 2021
Certification dateJune 12, 2021
Mailing address29 Damin Dr, Farmingdale, NY 11735-6407

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