Individual
ALIYA SIMCHA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11015 WARWICK BLVD STE 112, NEWPORT NEWS, VA 23601-3225
(818) 345-2345
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000192
VA
Other
Enumeration date
08/08/2011
Last updated
11/03/2017
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