Individual
KELLY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 E BALTIMORE PIKE FL 2, MEDIA, PA 19063-1751
(610) 864-7376
Mailing address
640 NEWLIN RD, SPRINGFIELD, PA 19064-2815
(610) 724-3192
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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