Individual
CASSANDRA LYNN BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
817 S ELM PL STE 104, BROKEN ARROW, OK 74012-5369
(918) 928-5437
(888) 720-8944
Mailing address
3511 E 143RD PL S, BIXBY, OK 74008-1157
(203) 809-1033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43165
OK
106S00000X
Behavior Technician
RBT-18-72478
OK
Other
Enumeration date
02/24/2020
Last updated
04/17/2024
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