Individual
TANYA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 YALE BLVD SE STE F, ALBUQUERQUE, NM 87106-4228
(505) 272-1221
Mailing address
707 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2360
(505) 345-8471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
07/11/2018
Last updated
04/30/2024
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