Individual
JENNA MARIE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
Mailing address
11415 NE 128TH ST STE 40, KIRKLAND, WA 98034-6315
(425) 307-1815
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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