Individual
CIARA A BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
194 AINSDALE DR, RICHMOND HILL, GA 31324-7821
(607) 621-5676
Mailing address
1302 ADDISON PL, POOLER, GA 31322-4189
(203) 258-5180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
05/24/2025
Last updated
10/22/2025
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