Individual
AARON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5163 ROSWELL RD, SANDY SPRINGS, GA 30342-2206
(877) 288-4760
Mailing address
3354 LANSBURY VILLAGE DR, ATLANTA, GA 30341-5728
(773) 318-9741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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