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NPI Code Detail

MEDICARE: MAKASIAH SAMYA BURNS

MEDICARE: MAKASIAH SAMYA BURNS
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 Technician10211942AL

General Provider Information

NPI Number : 1639007834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKASIAH SAMYA BURNS
Provider Business Mailing Address
First Line : 200 VESTAVIA PKWY
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-7715
Country : US
Telephone Number : 205-208-4927
Fax Number :
Provider Business Practice Location Address
First Line : 200 VESTAVIA PKWY
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-7715
Country : US
Telephone Number : 205-208-4927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ MAKASIAH SAMYA BURNS ” Practice Location

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