TIM BURGOYNE
Behavior Technician
Active
Individual
NPI: 1255095576
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1255095576 is the National Provider Identifier for TIM BURGOYNE, a Behavior Technician provider located in Logan, UT. This NPI was enumerated on October 22, 2021.
TIM BURGOYNE practices at 625 W 200 N, APT A306, Logan, UT 84321.
Quick Facts
- NPI
- 1255095576
- Type
- Individual
- Enumerated
- Oct 22, 2021
- Last Updated
- Oct 22, 2021
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