Individual
ABIGAIL LEIGH BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3433 BRAMBLETON AVE STE 201A, ROANOKE, VA 24018-6527
(276) 239-0227
Mailing address
1763 SMITH LN, PULASKI, VA 24301-2005
(276) 239-0227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-164390
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-164390
BACB
VA
Enumeration date
10/08/2021
Last updated
10/08/2021
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