Individual
MALLORI J BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
18 N UNCOMPAHGRE AVE, MONTROSE, CO 81401-3986
(970) 765-8428
Mailing address
12743 5875 RD, MONTROSE, CO 81403-8393
(970) 765-5284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26264
CO
Other
Enumeration date
05/29/2018
Last updated
02/12/2024
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