Individual
AMY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED LABA
Contact information
Practice address
29 S PARK AVE, PLYMOUTH, MA 02360-3831
(508) 975-1160
Mailing address
29 S PARK AVE, PLYMOUTH, MA 02360-3831
(508) 975-1160
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2057
MA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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