Individual
BRITTANY L GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(469) 904-0159
Mailing address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26851
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
08/28/2017
Last updated
07/21/2022
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