NPI 1578148177

Dacotah Burdette

Practitioner Behavior Technician Davis, WV

Practice location

Address: 1085 Canaan Heights Rd, Davis, WV 26260-8007
Phone: (304) 851-6643

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1578148177
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2021
Record last updated: 15 Mar 2021

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.