CHARITY BURT
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1730901604- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 402B LEGACY PARK, RIDGELAND, MS, 391574315
- Phone
- (769) 233-7154
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
124 HUNT CIR
MADISON, MS, 391109536