Defalco, Gordon Anthony

Defalco, Gordon Anthony is an individual health care provider with primary practice located at 16 Bridge Gate , Plymouth MA 02360-6377. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Defalco, Gordon Anthony can be contacted via phone (508) 287-8692.

Contact Information

Primary practice address
16 Bridge Gate Plymouth MA 02360-6377
Phone: (508) 287-8692
Fax: (508) 591-7886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1-04-1493
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 882 Massachusetts
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-04-1493 Massachusetts

Profile Details

NPI number 1285713685
LBN Legal business name Defalco, Gordon Anthony
Credentials BCBA-D,PHD,LABA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2006
Last updated Sep 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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