Individual
MRS. MONICA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
67 JACKS LN, SOMERSET, KY 42501-6152
(606) 425-4371
(606) 699-1669
Mailing address
38 MITCHELL LN, SOMERSET, KY 42503-6395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
240776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29702
BACB
—
01
—
14609077
CAQH
—
01
—
240776
COMMONWEALTH OF KENTUCKY
KY
05
—
7100590440
—
KY
Enumeration date
03/13/2019
Last updated
01/08/2021
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