Individual
ASHLEY BURGOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, BCBA
Contact information
Practice address
2919 WILDER RD, SUITE 220, BAY CITY, MI 48706-9299
(989) 671-5738
(989) 583-1606
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 671-5738
(989) 583-1606
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11519057
MI
235Z00000X
Speech-Language Pathologist
Primary
7101001352
MI
Other
Enumeration date
09/03/2013
Last updated
02/26/2016
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