Individual
AMIE M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, MS
Contact information
Practice address
580 N WASHINGTON ST, JANESVILLE, WI 53548-2984
(608) 756-5555
(608) 314-2442
Mailing address
404 SYMPHONY CV, MACHESNEY PARK, IL 61115-7456
(815) 871-5238
(815) 654-4505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
001-096612
—
103K00000X
Behavior Analyst
Primary
138-140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362769801
—
IL
Enumeration date
01/26/2010
Last updated
03/28/2016
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