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NPI Code Detail

MEDICARE: CHRISSY LYNN BURNES

MEDICARE: CHRISSY LYNN BURNES
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 TechnicianBCAB1351761OK

General Provider Information

NPI Number : 1184518755
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISSY LYNN BURNES
Provider Business Mailing Address
First Line : 410909 E 1210 RD
Second Line :
City : EUFAULA
State : OK
Zip : 74432-5775
Country : US
Telephone Number : 575-208-8632
Fax Number :
Provider Business Practice Location Address
First Line : 3705 W MEMORIAL RD STE 702
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-1507
Country : US
Telephone Number : 866-885-0849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2025
Last Update Date : 06/06/2025

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Directions to “ CHRISSY LYNN BURNES ” Practice Location

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