DATAELA J BURGESS

PHOENIX, AZ
NPI1720762396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-23-267051)
Enumeration Date2023-06-13
Last Update Date2023-06-13
Business Address
DATAELA J BURGESS RBT
1840 N 95TH AVE STE 140
PHOENIX, AZ 85037-4446
Phone number: 623-264-8188
Mailing Address
DATAELA J BURGESS RBT
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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