Individual
SANDRA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Mailing address
1623 KINGS HWY, BROOKLYN, NY 11229-1209
(718) 375-1200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
074526
NY
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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