Courtney Rose Burroughs

NPI # 

Practice Address:

6477 Atlantic Ave Apt 235

Long Beach, CA, 90805-7350

Practice Phone:

209-605-3454

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X

Deactivation Date:

2020-12-17T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2021-01-18T00:00:00.000Z

Updated by NPPES on 1/18/2021. You can view the original data set for NPI # 1962098970 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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