Patricia Holly Gordon

NPI #1205687944 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1205687944
Entity Type: Individual
Name: Patricia Holly Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 1, 2024
Last Updated: Apr 1, 2024

Practice Location

Address: 125 AMHERST LN
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-5804
Phone: (631) 312-1409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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