Individual
TIMOTHY GORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 SW HARRISON ST, TOPEKA, KS 66611-2277
(785) 233-2566
Mailing address
3401 SW HARRISON ST, TOPEKA, KS 66611-2277
(785) 233-2566
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
KIPBS PROVIDER 03-11
KS
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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