Individual
CHRISTIN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6458 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3245
(612) 861-1688
Mailing address
16556 FRANKLIN TRL SE APT 3, PRIOR LAKE, MN 55372-3070
(612) 214-8769
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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