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Individual

CHELSEA SUZANNE GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA, LBA

Contact information

Practice address
9985 POPLAR TENT RD, CONCORD, NC 28027-9318
(980) 785-1113
Mailing address
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64937
NC

Other

Enumeration date
04/06/2023
Last updated
09/16/2024
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