Burkett, Faye Gabrielle

Burkett, Faye Gabrielle is an individual health care provider with primary practice located at 1140 Exceller Ct Apt 102 , Casselberry FL 32707. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Burkett, Faye Gabrielle can be contacted via phone (912) 278-0869.

Contact Information

Primary practice address
1140 Exceller Ct Apt 102 Casselberry FL 32707
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23804 Colorado

Profile Details

NPI number 1891240578
LBN Legal business name Burkett, Faye Gabrielle
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2016
Last updated Jun 8th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891240578 NPPES
Florida MEDICAID 019525100

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