Ashley Gordon
Behavior Technician in Chicago, IL. Individual provider (NPI-1).
NPI number1841024288
StatusActive
Last updated in NPPESAug 28, 2024
Details
- NPI
- 1841024288
- Entity type
- Individual (NPI-1)
- Name
- Ashley Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2024
- Certification date
- Aug 28, 2024
- Last updated
- Aug 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
625 W Division St Unit 613Chicago, IL 60610-2596
Phone 312-340-9313
Mailing address
625 W Division St Unit 613Chicago, IL 60610-2596
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