NPI 1255980199

Kaitlyn Gordon, BCABA

Practitioner Assistant Behavior Analyst Conway, AR

Practice location

Address: 1301 Museum Rd, Conway, AR 72032-4739
Phone: (501) 358-6535

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-22-13843 (AR)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1255980199
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2019
Record last updated: 28 Jul 2022

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.