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Kevin Edward Burgess, PSR

Behavior Analyst in Rio Rancho, NM. Individual provider (NPI-1).

NPI number1750156014
StatusActive
Last updated in NPPESNov 16, 2023

Details

NPI
1750156014
Entity type
Individual (NPI-1)
Name
Mr. Kevin Edward Burgess
Credential
PSR
Sex
Male
Sole proprietor
No
Enumeration date
Nov 16, 2023
Certification date
Nov 16, 2023
Last updated
Nov 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst––Yes

Practice location

184 Unser Blvd Ne
Rio Rancho, NM 87124-4045

Phone 505-896-0928 · Fax 505-896-0585

Mailing address

184 Unser Blvd Ne
Rio Rancho, NM 87124-4045

Phone 505-896-0928 · Fax 505-896-0585

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