Jervona Anton Gorham
Jervona Anton Gorham is a Behavior Technician in Carlsbad, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2888 Loker Ave E Ste 105Carlsbad, CA 92010-6683
Phone: (832) 423-1622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1215781695 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 12, 2024 |
| Last updated in NPPES | April 12, 2024 |
| Certification date | April 12, 2024 |
| Mailing address | 2888 Loker Ave E Ste 105, Carlsbad, CA 92010-6683 |
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