Individual
MRS. STACIE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8440 ALLISON POINTE BLVD STE 120, INDIANAPOLIS, IN 46250-5661
(404) 654-3236
Mailing address
5741 TURNBULL CT, CARMEL, IN 46033-4814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79559
IN
106E00000X
Assistant Behavior Analyst
0-24-15477
IN
Other
Enumeration date
08/29/2024
Last updated
02/27/2025
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