Individual
DAJANIQUE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6517 LAKE RD, MINT HILL, NC 28227-5536
(440) 319-2604
Mailing address
6517 LAKE RD, MINT HILL, NC 28227-5536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
251B00000X
Case Management Agency
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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