Gordon, Raegan Lentz

Gordon, Raegan Lentz is an individual health care provider with primary practice located at 3229 S Cherokee Ln Ste 1400 , Woodstock GA 30188-4461. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Gordon, Raegan Lentz can be contacted via phone (866) 610-0580.

Contact Information

Primary practice address
3229 S Cherokee Ln Ste 1400 Woodstock GA 30188-4461
Phone: (866) 610-0580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-47714 Georgia

Profile Details

NPI number 1750930442
LBN Legal business name Gordon, Raegan Lentz
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2019
Last updated Nov 4th, 2022 - about 2 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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