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1215439872
CANDACE RACHELL GORDON
BATON ROUGE, LA
NPI
1215439872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
(Licence: LA C-125)
Enumeration Date
2018-02-28
Last Update Date
2023-05-19
Business Address
CANDACE RACHELL GORDON BCABA
11606 SOUTHFORK AVE STE 100
BATON ROUGE, LA 70816-5235
Phone number: 225-831-9583
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Mailing Address
CANDACE RACHELL GORDON BCABA
1113 RANGE AVE STE 110-162
DENHAM SPRINGS, LA 70726-4820
Phone number: 225-301-0588
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