Elizabeth G Burgess

NPI #1518634435 in Weiser, Idaho

Provider Information

NPI Number: 1518634435
Entity Type: Individual
Name: Elizabeth G Burgess
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 27, 2021
Last Updated: Sep 9, 2021

Practice Location

Address: 750 UPPER RD
City: Weiser
State: Idaho
ZIP Code: 83672-2609
Phone: (208) 907-2650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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