Individual
ANNA LEIGH BURGDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 WESTPARK DR APT 904, ATHENS, GA 30606-7500
(706) 207-8140
Mailing address
150 WESTPARK DR APT 904, ATHENS, GA 30606-7500
(706) 207-8140
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33636
GA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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