Individual
BRIANNA BURKHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
2 PADRE PKWY STE 101, ROHNERT PARK, CA 94928-2114
(510) 268-8120
Mailing address
611 SAINT MARY DR, SANTA ROSA, CA 95409-2705
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-19-37506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-19-37506
—
CA
Enumeration date
11/26/2018
Last updated
02/28/2023
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