Individual
ELISABETH REESE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WINTER ST, PEMBROKE, MA 02359-4965
(508) 287-8692
Mailing address
20 WINTER ST, PEMBROKE, MA 02359-4965
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-380770
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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