Mario Vincent Gordon

NPI #1700325255 in Maple Heights, Ohio

Provider Information

NPI Number: 1700325255
Entity Type: Individual
Name: Mario Vincent Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2017
Last Updated: Jan 30, 2024

Practice Location

Address: 5208 ANTHONY ST
City: Maple Heights
State: Ohio
ZIP Code: 44137-1316
Phone: (216) 855-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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