Individual
JESSICA BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 GLENMAR AVE, MONROE, LA 71201-5309
(318) 327-8223
Mailing address
123 STEPHANIE DR, WEST MONROE, LA 71291-6975
(318) 327-8223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
R-24580
LA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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