Individual
AMERICA BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 KELLY ST, 14, BRONX, NY 10459-2852
(646) 260-0806
Mailing address
1079 KELLY ST, 14, BRONX, NY 10459-2852
(646) 260-0806
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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