Jesalyn Gordon Valid NPI
Individual provider · Behavior Technician · Halethorpe, MD
- NPI
- 1023825262
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- BACB1244430 (MD)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-12-11
- Last updated
- 2024-12-11
Practice location
2905 Louisiana Ave
Halethorpe, MD 21227-2226
(443) 262-1217