NPI 1003628983

Gage Burk

Practitioner Behavior Technician Bloomington, IN

Practice location

Address: 3101 N. Canterbury Court, Bloomington, IN 47404-4500
Phone: (317) 249-2242
Fax: (844) 289-6798
Mailing address: 550 Congressional Blvd. Suite 115, Carmel, IN 46032-5400

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-301052 (IN)

Other Behavior Technician providers in Indiana →

Registry record

NPI: 1003628983
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2025
Record last updated: 27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.