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Contact Information

KAITLYN GORDON, BCABA
1301 MUSEUM RD
CONWAY, AR72032-4739
 Phone: 501-358-6535
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for KAITLYN GORDON · (Female)

NPI Number 1255980199
Status Active
Credentials BCABA
Entity Individual
Enumeration date 09/04/2019
Last updated 07/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AR License # 0-22-13843
  • AR Medicaid 1255980199
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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