Individual
COURTNEY MICHELE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 839-7300
Mailing address
12450 TRAIL OAKS DR APT 2, OKLAHOMA CITY, OK 73120-9106
(708) 288-3421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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