Individual
KIMBERLY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
156 BURNETTS WAY, SUFFOLK, VA 23434-8166
(757) 934-6470
(757) 255-4281
Mailing address
1011 CHERRY GROVE RD N, SUFFOLK, VA 23432-1811
(757) 934-6470
(757) 255-4281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1-07-3299
—
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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