Individual
EMMA ROSE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 UNIVERSITY WAY NE, SEATTLE, WA 98105-4341
(206) 427-0115
Mailing address
16511 SE 39TH PL, BELLEVUE, WA 98008-5860
(206) 708-4991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45492
FL
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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