Individual
NICOLE GORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
595 FRANKLIN AVE, BROOKLYN, NY 11238-3310
(848) 391-9974
Mailing address
595 FRANKLIN AVE, BROOKLYN, NY 11238-3310
(848) 391-9974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-117-26466
MD
Other
Enumeration date
09/21/2017
Last updated
07/21/2022
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