Individual
SUZANNE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 PERCY ARMS ST, LAS VEGAS, NV 89138-6032
(702) 595-2073
Mailing address
824 PERCY ARMS ST, LAS VEGAS, NV 89138-6032
(702) 595-2073
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1403862158
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1403862158
—
NV
Enumeration date
10/06/2011
Last updated
10/06/2011
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