LATRICE GORDON

Behavior Technician

Active Individual
NPI: 1265995641

Practice Address

3433 HERON ISLAND DR
New Port Richey, FL 34655

Phone: (815) 546-5613

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1265995641 is the National Provider Identifier for LATRICE GORDON, a Behavior Technician provider located in New Port Richey, FL. This NPI was enumerated on April 11, 2019.
LATRICE GORDON practices at 3433 HERON ISLAND DR, New Port Richey, FL 34655.

Quick Facts

NPI
1265995641
Type
Individual
Enumerated
Apr 11, 2019
Last Updated
Apr 11, 2019

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