Individual
MS. LAGRACIA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E.
Contact information
Practice address
8612 FORREST AVE, PHILA., PA 19150
(267) 439-6721
(215) 248-1011
Mailing address
8612 FORREST AVE., PHILA., PA 19150
(267) 439-6721
(215) 248-1011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
02/23/2015
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