Individual
BRANDI GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13304 COMMONWEALTH ST, SOUTHGATE, MI 48195-1285
(313) 627-5977
Mailing address
13304 COMMONWEALTH ST, SOUTHGATE, MI 48195-1285
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA-19-6495-184575
MI
106S00000X
Behavior Technician
RBT-18-47320
MI
374J00000X
Doula
—
—
Other
Enumeration date
05/29/2018
Last updated
05/05/2026
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