Individual
DEJIOUR BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3921 PINTAIL DR, SPRINGFIELD, IL 62711-6738
(217) 843-0290
Mailing address
3921 PINTAIL DR, SPRINGFIELD, IL 62711-6738
(217) 843-0290
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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