Individual
ANGELIA DENISE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6908 LAS ANIMAS AVE NE, ALBUQUERQUE, NM 87110-3527
(254) 389-1063
Mailing address
6908 LAS ANIMAS AVE NE, ALBUQUERQUE, NM 87110-3527
(254) 389-1063
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NM
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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