Individual
HAYLIE C BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W DUNLAP AVE, PHOENIX, AZ 85021-2817
(602) 325-2485
Mailing address
615 E WEBER DR, TEMPE, AZ 85281-1775
(619) 395-4602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D07407762
AZ
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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