Individual
KAYLA ROSE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(248) 549-4339
Mailing address
20442 PICADILLY RD, DETROIT, MI 48221-1312
(313) 721-8901
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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