NPI 1215439872

Candace Rachell Gordon, BCABA

Practitioner Assistant Behavior Analyst Baton Rouge, LA

Practice location

Address: 11606 Southfork Ave STE 100, Baton Rouge, LA 70816-5235
Phone: (225) 831-9583
Mailing address: 1113 Range Ave STE 110-162, Denham Springs, LA 70726-4820

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence C-125 (LA)

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Registry record

NPI: 1215439872
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2018
Record last updated: 19 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.