NPI 1023732393

Aquarius Burwell, RBT

Practitioner Behavior Technician Madison, AL

Practice location

Address: 100 Spenryn Dr, Madison, AL 35758-1890
Phone: (256) 772-4400
Fax: (256) 772-4404

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-21-169374 (AL)

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Registry record

NPI: 1023732393
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2022
Record last updated: 30 Sep 2022

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.