Burley, Cynthia S

Burley, Cynthia S is an individual health care provider with primary practice located at 4440 Viking Dr , Bossier City LA 71111-7511. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Burley, Cynthia S can be contacted via phone (318) 588-8908.

Contact Information

Primary practice address
4440 Viking Dr Bossier City LA 71111-7511
Phone: (318) 588-8908
Fax: (318) 588-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-168080

Profile Details

NPI number 1316513492
LBN Legal business name Burley, Cynthia S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2021
Last updated May 31st, 2021 - about 5 years 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 1316513492 NPPES
Louisiana Other S-6979 STATE OF LOUISIANA - LINE TECH REGISTRATION NUMBER
Louisiana Other RBT-21-168080 STATE OF LOUISIANA - LINE TECH REGISTRATION NUMBER

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