Daijjah T Gordon

NPI #1285490425 in Medford, Massachusetts

Provider Information

NPI Number: 1285490425
Entity Type: Individual
Name: Daijjah T Gordon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 26, 2024
Last Updated: Feb 26, 2024

Practice Location

Address: 3610 MYSTIC VALLEY PARKWAY
Address 2: N1009
City: Medford
State: Massachusetts
ZIP Code: 02155-0215
Phone: (857) 346-9279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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