Organization
BURNETT THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZE BURNETT (OWNER)
(707) 299-8250
Entity
Organization
Contact information
Practice address
2301 COFFEE RD, MODESTO, CA 95355-2308
(707) 299-8250
(707) 635-8215
Mailing address
2301 COFFEE RD, MODESTO, CA 95355-2308
(707) 299-8250
(707) 635-8215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/06/2025
Last updated
07/09/2025
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