Misti Dawn Burke

NPI #1205314739 in Jackson, Wyoming

Provider Information

NPI Number: 1205314739
Entity Type: Individual
Name: Misti Dawn Burke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 6, 2018
Last Updated: Aug 6, 2018

Practice Location

Address: 310 E BROADWAY AVE
City: Jackson
State: Wyoming
ZIP Code: 83001-8636
Phone: (720) 448-6227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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