Alicia Burgess

NPI #1346893971 in Brandenburg, Kentucky

Provider Information

NPI Number: 1346893971
Entity Type: Individual
Name: Alicia Burgess
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 23, 2019
Last Updated: Jul 23, 2019

Practice Location

Address: 51 SUMMITT DR
City: Brandenburg
State: Kentucky
ZIP Code: 40108-1435
Phone: (804) 551-1032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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