Individual
JAMEARI GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(770) 820-3313
Mailing address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
RBT-20-112671
GA
106S00000X
Behavior Technician
Primary
RBT-20-112671
GA
106S00000X
Behavior Technician
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Other
Enumeration date
10/02/2019
Last updated
11/18/2022
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