Individual
SEVERIN NIKLAUS BURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 NW F ST, GRANTS PASS, OR 97526-1947
(541) 479-2966
Mailing address
201 W MAIN ST STE 4B, MEDFORD, OR 97501-2734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/12/2019
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