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NPI Code Detail

MEDICARE: SKYHE BURTON

MEDICARE:   SKYHE  BURTON
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 : 1457803249
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYHE BURTON
Provider Business Mailing Address
First Line : 875 MORRISON AVE APT 3J
Second Line :
City : BRONX
State : NY
Zip : 10473-4415
Country : US
Telephone Number : 917-280-9083
Fax Number :
Provider Business Practice Location Address
First Line : 875 MORRISON AVE APT 3J
Second Line :
City : BRONX
State : NY
Zip : 10473-4415
Country : US
Telephone Number : 917-280-9083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 10/27/2016

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Directions to “ SKYHE BURTON ” Practice Location

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