Individual
KORYNN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2990 N PERRYVILLE RD, ROCKFORD, IL 61107-6814
(815) 469-1500
Mailing address
2990 N PERRYVILLE RD, ROCKFORD, IL 61107-6814
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41786
IL
Other
Enumeration date
05/09/2018
Last updated
06/23/2022
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