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Individual
CHARLES BURD
Active
Individual
CHARLES BURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-18-33918
ND
Other
Enumeration date
02/05/2014
Last updated
10/24/2022
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