Individual provider · NPI-1

Michael Burke Jr.

Day Training/Habilitation Specialist · Newport News, VA

NPI number1689954968

StatusActive

Last updated in NPPESAug 18, 2011

Details

NPI: 1689954968
Entity type: Individual (NPI-1)
Name: Michael Burke Jr.
Sex: Male
Sole proprietor: Yes
Enumeration date: Aug 18, 2011
Last updated: Aug 18, 2011

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	1033-02-006	VA	Yes

Practice location

11000 Jefferson Ave Ste B
Newport News, VA 23601-2747

Phone 757-848-3500 · Fax 757-722-6263

Mailing address

11000 Jefferson Ave Ste B
Newport News, VA 23601-2747

Phone 757-848-3500 · Fax 757-722-6263

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