NPI 1124312079 · live from the CMS NPI Registry
Allena M Burbage, ALC
Behavior Analyst in Montgomery, AL. National Provider Identifier 1124312079, active.
NPI record
| NPI | 1124312079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 8190 Seaton Pl, Montgomery, AL 36116 |
| Practice phone | 334-396-9100 |
| Mailing address | 6325 Chaprice Ln, Montgomery, AL 36117 |
| Enumerated | June 7, 2011 |
| Last updated | June 7, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | C1767A (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.