Jacob D Burnside

NPI #1528758646 in Walker, Michigan

Provider Information

NPI Number: 1528758646
Entity Type: Individual
Name: Jacob D Burnside
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2023
Last Updated: May 11, 2023

Practice Location

Address: 1550 3 MILE RD NW
City: Walker
State: Michigan
ZIP Code: 49544-8251
Phone: (616) 840-8807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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