Individual
MADELINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 NJ-36 EAST, LONG BRANCH, NJ 07764
(848) 888-3204
Mailing address
2205 NORTH RD, POINT PLEASANT BORO, NJ 08742-3827
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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