Healthcare Provider Details

I. General information

NPI: 1073476685
Provider Name (Legal Business Name): EMILY KAY BURNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 W CHICAGO BLVD STE A
TECUMSEH MI
49286-8727
US

IV. Provider business mailing address

483 TILTON DR
TECUMSEH MI
49286-1664
US

V. Phone/Fax

Practice location:
  • Phone: 517-507-5555
  • Fax:
Mailing address:
  • Phone: 517-270-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: