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NPI Code Detail

MEDICARE: ACTION BEHAVIOR CENTER

MEDICARE: ACTION BEHAVIOR CENTER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1417823915
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTION BEHAVIOR CENTER
Provider Business Mailing Address
First Line : 7355 S HOUGHTON RD STE 109&111
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9379
Country : US
Telephone Number : 520-833-9223
Fax Number :
Provider Business Practice Location Address
First Line : 7355 S HOUGHTON RD STE 109&111
Second Line :
City : TUCSON
State : AZ
Zip : 85747-9379
Country : US
Telephone Number : 520-833-9223
Fax Number :
Authorized Official
Title or Position : BCBA
Name : MRS. KELSEY LYNN BURTNESS
Credential : BCBA
Telephone Number : 260-418-7294
Provider Enumeration Date : 10/13/2025
Last Update Date : 10/13/2025

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Directions to “ACTION BEHAVIOR CENTER ” Practice Location

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