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1023685609
VERSHAWN GORDON
MARIETTA, GA
NPI
1023685609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-159774)
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
VERSHAWN GORDON RBT
2651 DALLAS HWY SW
MARIETTA, GA 30064-2541
Phone number: 678-486-1904
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Mailing Address
VERSHAWN GORDON RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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