Individual
RONNIE LYNN BURRISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4910 26TH ST E APT 201, BRADENTON, FL 34203-4945
(941) 580-4858
Mailing address
4910 26TH ST E APT 201, BRADENTON, FL 34203-4945
(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
02/13/2023
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