Individual
ROSE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
873 VINE AVE, LAKEWOOD, NJ 08701-5351
(732) 987-6006
Mailing address
194 TUDOR CT, LAKEWOOD, NJ 08701-1471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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