Gordon, Candace Rachell
Gordon, Candace Rachell is an individual health care provider with primary practice located at 11606 Southfork Ave Ste 100 , Baton Rouge LA 70816-5235. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Gordon, Candace Rachell can be contacted via phone (225) 831-9583.Contact Information
Primary practice address
11606 Southfork Ave Ste 100
Baton Rouge LA 70816-5235
Phone: (225) 831-9583
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | C-125 | Louisiana |
Profile Details
| NPI number | 1215439872 |
|---|---|
| LBN Legal business name | Gordon, Candace Rachell |
| Credentials | BCABA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2018 |
| Last updated | May 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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