Individual
AMY N BURGOS SUSANA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6794 PARK LN E, LAKE WORTH, FL 33449-6607
(561) 542-7795
Mailing address
6794 PARK LN E, LAKE WORTH, FL 33449-6607
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
04/15/2024
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