Jarel Gordon, BCBA

NPI 1518362003 · on the registry since 2014 · sole proprietor

Practice

Address: 1028 Winona Ave Sw
Roanoke, VA 24015
Phone: (540) 815-1693
Organisation at this address: Wild Child Therapeutic Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia