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Individual
SIDNEY BURGESS
Active
Individual
SIDNEY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ECMZA
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NULL
171400000X
Health & Wellness Coach
Primary
—
NULL
373H00000X
Day Training/Habilitation Specialist
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
374K00000X
Religious Nonmedical Practitioner
—
NULL
374U00000X
Home Health Aide
—
NULL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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