Individual
JACQUELINE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1A JONAH DR, PHENIX CITY, AL 36869-3639
(334) 592-8744
Mailing address
1A JONAH DR, PHENIX CITY, AL 36869-3639
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
AL
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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