Individual
BRIGID LUCIA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
603 NEW BRIDGE ST, JACKSONVILLE, NC 28540-5432
(910) 389-0901
(910) 939-5283
Mailing address
3352 JONES ST, CAMP LEJEUNE, NC 28547-1420
(540) 935-1019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-266263
NC
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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