Individual
AVI GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
500 REDLAND CT STE 102, OWINGS MILLS, MD 21117-3265
(443) 738-5110
Mailing address
500 REDLAND CT STE 102, OWINGS MILLS, MD 21117-3265
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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