Individual
REBECCA J. BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
236 BURTS RD, KIRKWOOD, NY 13795-1731
(480) 330-6308
(607) 775-2874
Mailing address
602 VERNA DR, ENDWELL, NY 13760-2426
(480) 330-6308
(607) 775-2874
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5735
AZ
235Z00000X
Speech-Language Pathologist
028730
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028730
NYSED PROVIDER NUMBER
NY
Enumeration date
05/14/2007
Last updated
05/22/2019
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