RAEGAN LENTZ GORDON

WOODSTOCK, GA
NPI1750930442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: GA  1-21-47714)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-09-05
Last Update Date2022-11-04
Business Address
RAEGAN LENTZ GORDON BCBA
3229 S CHEROKEE LN STE 1400
WOODSTOCK, GA 30188-4461
Phone number: 866-610-0580
Mailing Address
RAEGAN LENTZ GORDON BCBA
300 INTERNATIONAL PKWY STE 200
LAKE MARY, FL 32746-5028
Phone number: 866-610-0580