Shacora Tawanna Gordon

NPI #1003397704 in Bellmore, New York

Provider Information

NPI Number: 1003397704
Entity Type: Individual
Name: Shacora Tawanna Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 2631 MERRICK RD STE 302
City: Bellmore
State: New York
ZIP Code: 11710-5784
Phone: (516) 590-7575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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