Individual
MS. KELLIE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
1070 HEALD HWY, UNION, ME 04862-3647
(207) 522-4184
Mailing address
1070 HEALD HWY, UNION, ME 04862-3647
(207) 522-4184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41013
ME
Other
Enumeration date
02/27/2020
Last updated
01/13/2025
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