Mike Burks

NPI #1992384275 in Worcester, Massachusetts

Provider Information

NPI Number: 1992384275
Entity Type: Individual
Name: Mike Burks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 5, 2021
Last Updated: Apr 5, 2021

Practice Location

Address: 345A GREENWOOD ST
City: Worcester
State: Massachusetts
ZIP Code: 01607-1753
Phone: (508) 363-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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