Gordon, Michele Kristen

Gordon, Michele Kristen is an individual health care provider with primary practice located at 655 N Indiana Ave , Englewood FL 34223-2756. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gordon, Michele Kristen can be contacted via phone (941) 999-4917.

Contact Information

Primary practice address
655 N Indiana Ave Englewood FL 34223-2756
Phone: (941) 999-4917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Florida

Profile Details

NPI number 1912550740
LBN Legal business name Gordon, Michele Kristen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2019
Last updated Jul 21st, 2019 - about 6 years ago

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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