Individual
JENNIFER BURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 VAPOR TRL, COLORADO SPRINGS, CO 80916-2722
(719) 661-0118
Mailing address
1555 VAPOR TRL, COLORADO SPRINGS, CO 80916-2722
(719) 661-0118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88802
CO
106E00000X
Assistant Behavior Analyst
0-23-14458
CO
106S00000X
Behavior Technician
RBT-20-138003
CO
Other
Enumeration date
10/02/2020
Last updated
04/20/2026
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