Individual
MRS. ALLENA M BURBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
8190 SEATON PL, MONTGOMERY, AL 36116-7204
(334) 396-9100
Mailing address
6325 CHAPRICE LN, MONTGOMERY, AL 36117-4649
(334) 300-1806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
C1767A
AL
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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