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General NPI Number Information
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NPI Number | 1396250494
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Entity Type | Individual
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Provider Name | COURTNEY BURKHALTER
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Gender | Female
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 44933 GEORGE WASHINGTON BLVD STE 115
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City | ASHBURN
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State | VA
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Zip | 20147-6301
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Country | US
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Telephone | 844-244-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 43950 HARBOR HILLS TER UNIT 307
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City | LANSDOWNE
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State | VA
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Zip | 20176-3444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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