Individual
BURKLEY ELIZABETH LORENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5750 DIVISION ST STE 104, RIVERSIDE, CA 92506-3259
(951) 900-6390
Mailing address
209 FOWLER DR, MONROVIA, CA 91016-2503
(612) 306-7760
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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