Individual
MISS ANGEL LYNN M BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 ATLANTIC AVE STE 101, ALAMEDA, CA 94501-1188
(510) 268-8120
Mailing address
762 ORCHARD ST APT A, SANTA ROSA, CA 95404-3701
(707) 953-7441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
Y3493267
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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