Latasha M Gordon
NPI #1659927275 in Plainfield, Illinois
Provider Information
- NPI Number
- 1659927275
- Entity Type
- Individual
- Name
- Latasha M Gordon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 11, 2019
- Last Updated
- Aug 11, 2019
Practice Location
- Address
- 11914 S ROUTE 59 UNIT 124
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-5110
- Phone
- (815) 729-2160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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