Individual
MISS LISA MARIE BURKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SOUTH 329 CUMNOR, DOWNERS GROVE, IL 60516
(630) 910-3786
Mailing address
9 SOUTH 329 CUMNOR, DOWNERS GROVE, IL 60516
(630) 910-3786
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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