Gabrielle Marie Gordon
Behavior Technician in Fairfax, VA. Individual provider (NPI-1).
NPI number1982189510
StatusActive
Last updated in NPPESSep 28, 2018
Details
- NPI
- 1982189510
- Entity type
- Individual (NPI-1)
- Name
- Gabrielle Marie Gordon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2018
- Last updated
- Sep 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
11240 Waples Mill Rd Ste 101Fairfax, VA 22030-6078
Phone 703-237-2219 · Fax 703-237-2729
Mailing address
105 Flagstone CtLocust Grove, VA 22508-5222
Phone 540-395-5812
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