Individual
ELISE M BURNHAM-FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9053 HARLAN ST STE 90, WESTMINSTER, CO 80031-2908
(888) 754-0398
Mailing address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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