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NPI Code Detail

MEDICARE: MOLLY ANNE BURKE BCBA

MEDICARE: MOLLY ANNE BURKE 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
1103K00000XBehavior Analyst146.0134457VT

General Provider Information

NPI Number : 1982588042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY ANNE BURKE BCBA
Provider Business Mailing Address
First Line : 163 STRATTON RD
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4619
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 163 STRATTON RD
Second Line :
City : RUTLAND
State : VT
Zip : 05701-4619
Country : US
Telephone Number : 802-772-7071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2025
Last Update Date : 08/02/2025

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Directions to “ MOLLY ANNE BURKE BCBA” Practice Location

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