Individual
NANCY I SALINAS BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
21505 N 78TH AVE STE 125, PEORIA, AZ 85382-3356
(956) 483-5036
(480) 812-4831
Mailing address
3008 E SIERRA ST, PHOENIX, AZ 85028-1930
(956) 483-5036
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8008
AZ
Other
Enumeration date
08/04/2014
Last updated
04/04/2017
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