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Individual
ALLISON CATHERINE GORDON
Active
Individual
ALLISON CATHERINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
CA
2355S0801X
Speech-Language Assistant
Primary
A0795
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0795
SLPA
OR
Enumeration date
02/09/2018
Last updated
11/18/2022
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