MR. Silas Kenny Gordon, LPN, AAC

NPI #1104361732 in Bellingham, Washington

Provider Information

NPI Number: 1104361732
Entity Type: Individual
Name: MR. Silas Kenny Gordon, LPN, AAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: LPN, AAC
Enumeration Date: Jan 5, 2017
Last Updated: Mar 2, 2020

Practice Location

Address: 3419 REDWOOD AVE
City: Bellingham
State: Washington
ZIP Code: 98225-1139
Phone: (360) 325-9340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Behavior Technician	106S00000X	Primary

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