TYSON J BURRUSS

MEDFORD, OR
NPI1104471390
Former NameTYSON J GOOD-KIMBROUGH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OR  9621038)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
TYSON J BURRUSS
3709 CITATION WAY STE 102
MEDFORD, OR 97504-9022
Phone number: 541-500-6532
Mailing Address
TYSON J BURRUSS
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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