Kelly Burgess

NPI #1134752090 in Woburn, Massachusetts

Provider Information

NPI Number: 1134752090
Entity Type: Individual
Name: Kelly Burgess
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 19, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 10 GILL ST STE J
City: Woburn
State: Massachusetts
ZIP Code: 01801-1721
Phone: (617) 505-6183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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