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Individual
CORY CORRELL BURGESS
Active
Individual
CORY CORRELL BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34078
TX
103K00000X
Behavior Analyst
2685
TX
Other
Enumeration date
02/05/2019
Last updated
01/19/2023
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