Individual
JACQUELINE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 LAUREL RD, EAST NORTHPORT, NY 11731-1118
(631) 659-3337
Mailing address
27 WINDSOR ST, CENTEREACH, NY 11720-4207
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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