Yanique Burke
Homemaker in Ruskin, FL. Individual provider (NPI-1).
NPI number1073091500
StatusActive
Last updated in NPPESSep 13, 2024
Details
- NPI
- 1073091500
- Entity type
- Individual (NPI-1)
- Name
- Yanique Burke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2018
- Certification date
- Sep 13, 2024
- Last updated
- Sep 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | 240185 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 104100000X | Social Worker | – | – | |
| 106S00000X | Behavior Technician | – | – |
Practice location
10103 Count Fleet DrRuskin, FL 33573-6772
Phone 813-540-7800
Mailing address
10103 Count Fleet DrRuskin, FL 33573-6772
Phone 813-540-7800
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