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Individual
FAYE GABRIELLE BURKETT
Active
Individual
FAYE GABRIELLE BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23804
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019525100
—
FL
Enumeration date
08/23/2016
Last updated
06/08/2024
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