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Individual

LYNN BURNETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
187 HALF MILE RD, NORTH HAVEN, CT 06473
(203) 239-6425
Mailing address
187 HALF MILE RD, NORTH HAVEN, CT 06473-4121
(203) 239-6425

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
366
CT
222Q00000X
Developmental Therapist
2355S0801X
Speech-Language Assistant
SI1475
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SI1475
LICENSE#
FL
Enumeration date
02/05/2008
Last updated
08/10/2018
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