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NPI Code Detail

MEDICARE: EMMA BURATTI RBT

MEDICARE:   EMMA  BURATTI  RBT
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 Technician19-106390AZ

General Provider Information

NPI Number : 1184264319
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA BURATTI RBT
Provider Business Mailing Address
First Line : 3215 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2425
Country : US
Telephone Number : 480-893-7685
Fax Number : 480-546-4198
Provider Business Practice Location Address
First Line : 3215 W RAY RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2425
Country : US
Telephone Number : 480-893-7685
Fax Number : 480-546-4198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2020
Last Update Date : 01/15/2020

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Directions to “ EMMA BURATTI RBT” Practice Location

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