Most Relevant Information
Provider Data
| NPI Number: | 1003564774 |
| Provider Name: | NATALIE GORDON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/12/2022 |
| Last Updated: | 03/12/2022 |
Provider Practice Location
421 FAYETTEVILLE ST STE 1100
RALEIGH
NC
276013000
Practice Location Phone/Fax
| Phone: | 8774182978 |
| Fax: | 8665002186 |
Provider Mailing Location
2308 W MOUNTAIN ST
KERNERSVILLE
NC
272848013
Provider Mailing Phone/Fax
| Phone: | 3366028410 |
| Fax: |