Individual
RONNIE LYNN BURRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 GRAND BLVD STE 206, NEW PORT RICHEY, FL 34652-5157
(941) 580-4858
Mailing address
4640 73RD ST E, BRADENTON, FL 34203-7999
(941) 580-4858
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14237
FL
106S00000X
Behavior Technician
RBT-18-63952
FL
Other
Enumeration date
10/04/2018
Last updated
07/18/2026
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