Ainez Burrus
Behavior Technician in Clarksville, TN. Individual provider (NPI-1).
NPI number1760140586
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1760140586
- Entity type
- Individual (NPI-1)
- Name
- Ainez Burrus
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2021
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
941 Professional Park DrClarksville, TN 37040-5137
Phone 615-376-0034
Mailing address
941 Professional Park DrClarksville, TN 37040-5137
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