Individual
TIASHA BURDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SAINT CHARLES AVE, SUITE 2500, NEW ORLEANS, LA 70170-1000
(888) 880-9270
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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