Individual
MRS. NICOLE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
646 HOWARDS LOOP, ANNAPOLIS, MD 21401-8738
(443) 994-9690
Mailing address
646 HOWARDS LOOP, ANNAPOLIS, MD 21401-8738
(443) 994-9690
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1411
MD
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/30/2020
Last updated
10/10/2025
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