Individual
MACEY A BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16 COMMERCE DR, AUGUSTA, ME 04330-7888
(617) 958-1271
Mailing address
16 COMMERCE DR, AUGUSTA, ME 04330-7888
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88361
ME
106S00000X
Behavior Technician
Primary
RBT-17-46885
CA
Other
Enumeration date
07/10/2018
Last updated
05/18/2026
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