Gordon, Jarel

Gordon, Jarel is an sole proprietor health care provider with primary practice located at 1028 Winona Ave Sw , Roanoke VA 24015-5328. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Gordon, Jarel can be contacted via phone (540) 815-1693.

Contact Information

Primary practice address
1028 Winona Ave Sw Roanoke VA 24015-5328
Phone: (540) 815-1693
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133000357 Virginia

Profile Details

NPI number 1518362003
LBN Legal business name Gordon, Jarel
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2014
Last updated Oct 27th, 2014 - about 11 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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