Khalil Gorden-Stafford, QMHS

NPI #1033090113 in Columbus, Ohio

Provider Information

NPI Number: 1033090113
Entity Type: Individual
Name: Khalil Gorden-Stafford, QMHS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: QMHS
Enumeration Date: Sep 8, 2025
Last Updated: Sep 8, 2025

Practice Location

Address: 3242 E MAIN ST STE 2
City: Columbus
State: Ohio
ZIP Code: 43213-3807
Phone: (614) 266-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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