JACOB BURNSIDE

Behavior Technician

Active Individual
NPI: 1528758646

Practice Address

1550 3 MILE RD NW
Walker, MI 49544

Phone: (616) 840-8807

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1528758646 is the National Provider Identifier for JACOB BURNSIDE, a Behavior Technician provider located in Walker, MI. This NPI was enumerated on May 11, 2023.
JACOB BURNSIDE practices at 1550 3 MILE RD NW, Walker, MI 49544.

Quick Facts

NPI
1528758646
Type
Individual
Enumerated
May 11, 2023
Last Updated
May 11, 2023

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