Individual
DEVON THOMAS BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1622 BARTOW RD, MCKINLEYVILLE, CA 95519-4309
(707) 572-6784
Mailing address
PO BOX 1346, BLUE LAKE, CA 95525-1346
(707) 572-6784
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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