Search › Massachusetts › 103K00000X
Gordon Defalco, BCBA-D,PHD,LABA
NPI 1285713685 · on the registry since 2006
Practice
- Address
- 16 Bridge Gate
Plymouth, MA 02360 - Phone
- (508) 287-8692
- Fax
- (508) 591-7886
- Organisation at this address
- Stonebridge Behavioral Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103TB0200X
103K00000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts