Individual
TIFFANY LYNN BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA
Contact information
Practice address
10510 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2693
(540) 479-3908
(540) 479-1608
Mailing address
10510 SPOTSYLVANIA AVE, FREDERICKSBURG, VA 22408-2693
(540) 479-3908
(540) 379-1605
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001430
VA
Other
Enumeration date
07/17/2019
Last updated
12/05/2024
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