MEDICARE: EMILY KAY BURNS

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1073476685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KAY BURNS

Provider Business Mailing Address
First Line	:	483 TILTON DR
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-1664
Country	:	US
Telephone Number	:	517-270-1679
Fax Number	:

Provider Business Practice Location Address
First Line	:	1434 W CHICAGO BLVD STE A
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-8727
Country	:	US
Telephone Number	:	517-507-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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