Provider Demographics
NPI:1710750187
Name:GERSHENSON, JOSHUA (RBT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:GERSHENSON
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 174TH ST APT M03
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3228
Mailing Address - Country:US
Mailing Address - Phone:718-427-0500
Mailing Address - Fax:
Practice Address - Street 1:21011 NE 25TH CT
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1033
Practice Address - Country:US
Practice Address - Phone:305-832-9419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician