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Deactivated NPI 1104209279 Deactivated / Inactive NPI Female Practitioner

Cynthia Gordon

Behavior Analyst • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cynthia Gordon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2015
NPI Deactivation Date February 01, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Cynthia Gordon was a registered Behavior Analyst practicing in Austin, TX. Throughout an active medical career spanning 8 years, Cynthia Gordon provided care at the practice location at 10707 LAKE CREEK PKWY APT 274 until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

10707 Lake Creek Pkwy Apt 274

Austin, TX 787501669

Telephone 3524740372
Associated Practice Facility / Clinic
🏢 Shine On Academy Llc Facility NPI 1578160818

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
533 Specialists

Practicing in Austin, TX (5867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

NPI Profile Active July 07, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2015

Registered at 10707 LAKE CREEK PKWY APT 274, AUSTIN, TX 787501669 (Tel: 3524740372)

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Updated Business Mailing Address July 07, 2015

Registered at 10707 LAKE CREEK PKWY APT 274, AUSTIN, TX 787501669

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Provider Name / Credentials Updated July 07, 2015

Recorded as CYNTHIA GORDON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2015

Behavior Analyst

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Initial NPI Registration & Enumeration July 07, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104209279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2015
Last Update: July 07, 2015
Deactivation Date: February 01, 2023

Mailing Address

10707 Lake Creek Pkwy Apt 274

Austin, TX 787501669

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.