Gordon, Lucas Peter

Gordon, Lucas Peter is an individual health care provider with primary practice located at 77 Hartland St Ste 108 , East Hartford CT 06108-3259. 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, Lucas Peter can be contacted via phone (888) 754-0399.

Contact Information

Primary practice address
77 Hartland St Ste 108 East Hartford CT 06108-3259
Phone: (888) 754-0399
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1548011190
LBN Legal business name Gordon, Lucas Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2024
Last updated Apr 1st, 2024 - 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.

Request for update

Popular Providers