Individual
BENJAMIN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7976 DAIRY LN, ATHENS, OH 45701-9391
(740) 593-5164
(740) 594-6829
Mailing address
1049 WESTERN AVE, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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