Individual
GINA M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 MYRON ST, WEST SPRINGFIELD, MA 01089-1420
(203) 998-6678
Mailing address
84 MYRON ST, WEST SPRINGFIELD, MA 01089-1420
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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