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Individual

NIGEL BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8000
Mailing address
4641 MELDON AVE, OAKLAND, CA 94619-2645
(925) 222-7161

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CA
106S00000X
Behavior Technician

Other

Enumeration date
01/14/2020
Last updated
08/19/2024
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