MEDICARE: SALI BURTON BCBA

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1063958635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALI BURTON BCBA

Provider Business Mailing Address
First Line	:	2532 SANTIAM HWY SE # 114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-5211
Country	:	US
Telephone Number	:	541-223-2847
Fax Number	:

Provider Business Practice Location Address
First Line	:	1174 CORNUCOPIA ST NW STE 110
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97304-3193
Country	:	US
Telephone Number	:	800-273-4242
Fax Number	:	714-596-6274

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

Provider Enumeration Date	:	01/06/2017
Last Update Date	:	03/10/2022

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Directions to “ SALI BURTON BCBA” Practice Location

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