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Individual

MS. BROOKE EILEEN BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, BCBA, LBA

Contact information

Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-0664
(573) 884-1151
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-0664
(573) 884-1151

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012001901
MO

Other

Enumeration date
01/23/2012
Last updated
01/23/2012
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