Individual
MARIO VINCENT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5208 ANTHONY ST, MAPLE HEIGHTS, OH 44137-1316
(216) 855-3353
Mailing address
5208 ANTHONY ST, MAPLE HEIGHTS, OH 44137-1316
(216) 855-3353
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
01/30/2024
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