Miranda Gordon
Miranda Gordon is a Behavior Technician in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2021
Practice location Address checks out
2919 Breezewood Ave Ste 101Fayetteville, NC 28303-5283
Phone: (910) 484-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 11012 (NC) |
|---|
Record details
| NPI number | 1205404134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2021 |
| Last updated in NPPES | August 2, 2021 |
| Certification date | August 2, 2021 |
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