Jennifer Burdish
Behavior Analyst in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1669921722
StatusActive
Last updated in NPPESMar 3, 2017
Details
- NPI
- 1669921722
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Burdish
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2016
- Last updated
- Mar 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-16-24856 | NY | Yes |
| 251S00000X | Community/Behavioral Health | 742427131 | NY | |
| 251S00000X | Community/Behavioral Health | 926923151 | NY |
Practice location
3 Norton AvePort Jefferson Station, NY 11776-4402
Phone 631-831-6988
Mailing address
3 Norton AvePort Jefferson Station, NY 11776-4402
Phone 631-831-6988
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All 17 Behavior Analyst providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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