Shayna Nicole Gordon

NPI #1366171027 in Perry, Georgia

Provider Information

NPI Number: 1366171027
Entity Type: Individual
Name: Shayna Nicole Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 8, 2022
Last Updated: Jun 8, 2022

Practice Location

Address: 303 DOG FENNEL LN
City: Perry
State: Georgia
ZIP Code: 31069-9454
Phone: (803) 201-9975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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