Individual
KIMBERLY BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14368 MANCHESTER RD STE 250, MANCHESTER, MO 63011-4293
(636) 438-0360
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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