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NPI Code Detail

MEDICARE: ELLA BURKE

MEDICARE: ELLA BURKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1023940210
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA BURKE
Provider Business Mailing Address
First Line : PO BOX 740780
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0780
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 3760 S MASON RD STE 10
Second Line :
City : KATY
State : TX
Zip : 77450-7729
Country : US
Telephone Number : 281-769-1039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ ELLA BURKE ” Practice Location

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