Individual
CANDACE RACHELL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
11606 SOUTHFORK AVE STE 100, BATON ROUGE, LA 70816-5235
(225) 831-9583
Mailing address
1113 RANGE AVE STE 110-162, DENHAM SPRINGS, LA 70726-4820
(225) 301-0588
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
C-125
LA
Other
Enumeration date
02/28/2018
Last updated
05/19/2023
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