NPI 1205314739

Misti Dawn Burke

Practitioner Behavior Technician Jackson, WY

Practice location

Address: 310 E Broadway Ave, Jackson, WY 83001-8636
Phone: (720) 448-6227
Mailing address: PO Box 11231, Jackson, WY 83002-1231

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-18-61243 (WY)

Other Behavior Technician providers in Wyoming →

Registry record

NPI: 1205314739
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Aug 2018
Record last updated: 6 Aug 2018

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.