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Individual

JAREL GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
1028 WINONA AVE SW, ROANOKE, VA 24015-5328
(540) 815-1693
Mailing address
1028 WINONA AVE SW, ROANOKE, VA 24015-5328
(540) 815-1693

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000357
VA

Other

Enumeration date
10/27/2014
Last updated
10/27/2014
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