Individual
COURTNEY R BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, BCBA
Contact information
Practice address
5031 UNIVERSITY WAY NE, SEATTLE, WA 98105-4341
(206) 962-0960
Mailing address
8709 PALATINE AVE N, SEATTLE, WA 98103-3621
(206) 962-0960
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5661
WA
Other
Enumeration date
03/02/2012
Last updated
10/15/2015
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