Gordon, Tiara
Gordon, Tiara is an sole proprietor health care provider with primary practice located at 4906 Cutshaw Ave Ste 200 , Richmond VA 23230-3630. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gordon, Tiara can be contacted via phone (210) 769-9622.Contact Information
Primary practice address
4906 Cutshaw Ave Ste 200
Richmond VA 23230-3630
Phone: (210) 769-9622
Fax: (210) 769-9622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1518473164 |
|---|---|
| LBN Legal business name | Gordon, Tiara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2017 |
| Last updated | Nov 11th, 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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